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New Web design Questions

This form is designed to get our design team started.  Fill in as much info about your business, organization or project as you can.

 

 

Name

Business Name

Street Address 

City

State/Province

Zip/Postal Code

Country

Phone #

Fax #

Existing email
address

Site Title

Web Site Description

Keywords that describe your site.

  • A good title is between 5 and 20 words. Make you title not just your sites name, but  also be a quick description.
  • The Description should be a good description of your site.  Put keywords in the description .
  • Keywords should be relevant to your site.  Your meta tags help search engines in ranking your site.  Your keywords should be single words or small two word descriptions of your business.

Other pages you may need...

QTY DESCRIPTION
Sales
Pages
Qty:


Customer
Feedback
Forms.
Qty


Link Pages to other sites.
Qty

Other Pages.
Qty

 

 

Do you already have a registered domain name? Yes   No

 http://

If not list some choices 

Do you have internet access?

Yes        No

If so, with who?

 

Business Address (If different then above)

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Phone #

Fax #

Select any of the following options that apply:
Check all options needed ..

Page counter              

Guest Book    

Java Scripts                

Banners           

Custom Link Buttons  

 Video            

Music or Sounds           Animated Gifs
Pictures                      

Do you have business logos that need to be designed of scanned?

Yes No

What other pages or comments do you have ... ?

BILLING.
This is not on a secure server, you may also call our office with this info.
Credit Card
Cardholder Name

Card Number

Expiration Date

Check #

P.O. #

 

 


We will contact you within 1 business day.

 

 

 

 

Client WebMail Interface