Name: - First & Last * :Location: - Town, City, State : Email Address: * :Is this a new Website?* : Yes No If No, is it a re-design?* : Yes No What is the current URL of your website if this is a re-design? :Will you need space on the Internet to 'host' your website? * : Yes No Will you need a Domain Name registered?* : Yes No What type of 'Image' are you wanting your website to convey? * :Conservative Corporate/Professional Warm/Friendly Children/Family Colourful/Bright CatchesTheEye Feminine What type of business do you have? i.e. Business, Consultant, Bed & Breakfast, Beauty Industry etc * :What websites have you seen that are similar to what you require? URL of website #1 :URL of website #2 :URL of website #3 :Are you looking at maintain the website yourself?* : Yes No If you answered YES, are you wanting a CMS (Content/Client Management System)?* : Yes No If you answered NO, tell us how you plan to maintain the website? :Will you be providing the actual 'content' for your website? * : Yes, I will provide all the content No, I need you to write it What type of information will you want to include in your website?* : Home/Introduction Page Service Information Page/Pages About you/your Company/Company Profile Product Information Page/Pages Printable Order Form Page Online Order Form Page Website Updates and Announcements FAQs Page for Your Viewers Online Newsletter Page with Signup and Mailing Database Links to Related Businesses Page Contact Details Page Other (please describe below:) If 'other' selected, please detail your description here :Do you require eCommerce solutions? i.e. a Shopping Catalogue/Cart to process online orders and to accept online payments?* : Yes No Do you want to maintain the Shopping Catalogue/Shopping Cart yourself?* : Yes No If YES, how many products do you require to be included into the Shopping Cart? :Will you need someone to 'update' your website periodically if not wanting a CMS?* : Yes No If yes, will you need the updates:: Daily Weekly Fortnightly Monthly EXTRAS:Will you require 'extra' promotion done for your website? ie: submission to search engines* : Yes No Please provide us with any other comments which will help us in providing a quotation: :Who Referred you to our website? * :Search Engine Another Website Referral Word of Mouth Other If Other OR Word of Mouth, please provide details :Validate your request for a quotation
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