Please tell us a little about what type of website your interested in.
If you have a certain color scheme or ideas of what you want, just let us know in the comments section below.
Name
Street Address
City
State
Zip
Phone
Email address
Company Name
Your current website URL
New or redesigned website
New Website
Redesign
Website type
Business
Non-Profit
Personal
Website category
Arts
Beauty
Children
Computers
Games
Health
Home
News
Recreation
Reference
Regional
Science
Shopping
Society
Sports
Teens
Website category - more detail
If you know of websites that have features you like, please share them with us:
Website URL #1
Part of website that appeals to you
Website URL #2
Part of website that appeals to you
Website URL #3
Part of website that appeals to you
By what date would you like to be on the web?
How many pages will your website need?
Please list page headings that you know of:
Do you have a logo?
No - Help us create one
No - Don't need one
Yes - Needs redesign
Yes - Needs cleanup
Yes - It's perfect
Will you require:
Website text to be written by us?
0%
25%
50%
75%
100%
Edit only
Scanning of photos or images?
Yes
No - I can send them digitally
No - Don't need any
Photographic services?
Yes
No
Maybe
Online store?
Yes
No
Maybe
Pay Pal?
Yes
No
Maybe
Database to store articles,
names/addresses, etc?
Yes
No
Maybe
Additional comments or details
