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NAME COMPANY EMAIL URL ADDRESS
BUSINESS ADDRESS SUITE # CITY STATE
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NAME OF PERSON TO CONTACT CELL # OFFICE #
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Do You Need Domain Name Registration? : — Yes No I don't Know
Do you need Website Hosting? : — Yes No I don't Know
How soon are you ready to start?: — ASAP 1-2 Weeks 3-4 Weeks 4-8 Weeks 8+ Weeks
Sample websites that you like the design you want for your website :
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What purpose are you looking to provide for potential and existing clients will this website provide?
Additional uses or functionality?
What level of lnteractivity do you envision for your site? (i.e.- Blog Postins, Twitter Updates, Facebook landing Profile, User Forms)
What is the nature of your web site? Business to Business Business to Customer Combonation Branding
What are the Primary Goals for this Website to address? List Goals Here
Who is your Target Demographic?
Information is key to understanding your user-base and remaining competitive. All features are fully customizable to your business needs. If you feel your project requires a feature not listed, please specify and we will be happy to discuss your ideas.
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Information/request forms Chat /Conference Room Customer Survey/Polls Registration/Customer Log-in Discussion Forum Searchable Databases Newsletter/E-mail list sign-up Product Reviews Prize drawings Calendar of Events
Other Ideas:
Yes No
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Approximate number of pages:
Specific Pages:
Other ideas:
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What type of products and/or services do you offer? List of Products
Will your company provide web content (i.e., e-zine, articles, news, etc.)? Yes No In the Future
How many content pages will you be publishing on your site per month?
Can you briefly describe the type of content you are publishing?
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Do you have an online merchant account? Paypal Square MerchantPlus Authorize.net Other
Will you authorize credit card payments at the time the order is placed, or manually? At time of order Manually I use "Square"
How often do you foresee needing to update your site? Daily Weekly Monthly Yearly
What type of updates do you foresee?
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