REQUIRED FIELDS IN RED

Contact Person:   Company: 

Address:    City:     State: Zip: 

Country:  Phone:    Fax: 

Email:

In order to build you the best web site possible, the more information you enter, the better. Please take your time and fill out what you can. If needed, we will talk directly with you to clarify the final goal for a well-designed project.

Describe the type of business you have.

Describe features you would like to have on your website (graphics, database, shopping cart, gallery, catalog, product review, information pages, etc.):

Please describe the pages, by title, you would like to have incorporated in your web site (example: home page, info page, contact page, products, service page, etc.)

If you have seen any websites that you like or have a similar look that you would like to incorporate in your design, please insert the URL addresses of these sites for our review. Also, any color schemes that you would prefer.

On a monthly basis how many changes or updates do you think you would require? 

Check the appropriate button below (that you presently have):

Email account:   Fax:    Scanner:    Digital Camera 

How many e-mail accounts do you need?

Do you need a Domain Name? Yes No

No, I have a domain name already registered. The name is:  

Do you have a web site now?   Yes No

If Yes, what is the URL Address (s)? (List all if more than one)

URL Addresss 1:

URL Addresss 2:

URL Addresss 3:

Do you want us to register a Domain Name for you?   Yes    No 

What is the web address you would like to have?

1st Choice URL:

2nd Choice URL:

3rd Choice URL:

Additional Services You May Want:

Would you like a flash intro/animation of your company/products? * There will be a short animation on the company logo + products + some taglines/phrases.

Yes    No   

Interested in some Flash Banners or Gif Animated Banners? * Flash animated banners are more expensive + with enhanced motion graphics , while gif banners are more old fashion + cheaper.

Database?

Logo Creation?

Yes    No 

Stationary Package Design with Logo?

Any custom requirements?

If you have any questions about your website please feel free to ask us below.

Shopping Cart Information (If Needed):

Do you need a shopping cart?  Yes      No  

Do you need a merchant account?  Yes:    No  

Do you have more than 20 products?  Yes No  

We provide shopping carts with their own administration panels. Do you need to have us manage the store or is your company staff available to manage the store? Please explain: 

Your information will be sent on a secure transmission and we will try and respond as soon as possible. If you do not hear from us within 48 hours please e-mail us at Customer Service