Name:  
Company Name:
Contact Phone#:
Email Address:  
Estimated
Website Size:
25 Pages +
 11-25 Pages
 		 4-10 Pages
 Not Sure
 
Promotional Text and Advertising Copy:
Do you have existing promotional text or advertising copy that we can use for the website (Example: pamphlets, brochures, etc), or does most of the text for this site still need to be written?

We have a lot of existing material.
 We have a couple of pieces.
 We have no existing materials.
 
Common Website Pages and Features:

Please select any pages or features that you would like to have included on your website. Keep in mind that we can change the wording to accommodate your needs.
Home About Us Clients / Partners
Our Products Our Services News / Announcements
Staff Profiles F.A.Q. Testimonials
Special Offers Links Page  
Photo Gallery Map / Location  
Other (Describe in the comment section below)

 
 Forms to Gather Information
  A web form (like this one) that allows you to collect detailed information from visitors.  The collected information can be delivered by email and/or stored in a database. Uses include: contact forms; feedback forms; quote requests; links submission, etc.
E-Commerce - Single Click Purchase
  A simple "click and purchase" interface. This works best for sites where visitors will most likely make a single purchase (product, service, donation, etc).
E-Commerce - Shopping Cart
  This option allows visitors to add multiple items to their "shopping cart". They can choose when they are ready to checkout and purchase all the items they have selected.
Mailing List Management
  Allow your visitors to easily subscribe and unsubscribe from a mailing list.
Website Budget:
Additional Notes:

Please provide a brief description of your business as well as any custom features or functionality you require.