| E-mail Address: * | |
| Name: * | |
| Telephone Number: | |
| What is the title of your Website going to be? | |
| Do you have a company logo? |
Yes No |
| If no, would you like one designed for you? |
Yes No |
| Do you have a company tag line or slogan? |
Yes No |
| What is the nature of your business? (Briefly describe your products or services) | |
| If you have an existing Website, what is the URL? | |
| Please list at least 3 URLs (web addresses) of Websites that you like the look of: | |
| What color schemes do you like? | |
| What color schemes do you not like? | |
| How many pages do you require? | |
| What will the names of your pages be? (i.e., Home, About, Services, Contact) | |
| What type of look would you like to achieve? (e.g. business, high-tech, professional, conservative, warm, flashy, fun, etc.) | |
| Will you be sending me images to use on your site or would you like me to use generic ones? | |
| Is there anything else you would like for me to know? | |
| What browser and version do you use? (Internet Explorer, Netscape, etc) | |
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| * Required | |