SECTION 1: CONTACT INFORMATION
Name:
Email Address:
Company:
Phone:
Address 1:
Address 2:
City:
State:
Zip Code:
SECTION 2: OFFICE SERVICES (please check all that apply)
Word Processing
Manuals/Documents
Proposals
Mailing Lists/Services
Virtual Phone Services
Data Entry
Technical Writing
Database Maintenance
Media Duplication
Data Storage
Will you require printing services for your project?
Yes
No
Other, please describe
SECTION 3: DESKTOP PUBLISHING (please check all that apply)
Greeting Cards/Invitations
Business Cards
PowerPoint Presentations
Newsletters
Print or
Electronic
Brochures/Flyers
Letterhead/Envelopes
Overhead Transparences
Gift Certificates
Print or
Electronic
Other, please describe
SECTION 4: EVENT PLANNING (please check all that apply)
Business Meetings
Conferences
Registrations
Incentive Programs
Travel Arrangements
Handouts
Contests
Post-Event Sales Sites
Personalized Gifts/Give Aways
Event Location:
Event Dates:
Approximate Number of People Attending:
1-20
20-50
50-100
100+
Please provide additional information that will help us determine your event planning needs:
SECTION 5: WEB DESIGN & DEVELOPMENT SERVICES (please check all that apply)
Is your web project a redesign? If so, what is the current location of your website?
Will you need a domain name registration for your website?
Yes
No
Do you currently have a hosting provider?
Yes
No
Briefly describe the services and/or products you or your organization provide:
Approximately how many pages will you need to create?
1-5
5-7
7-10
10+
What will you be providing to the designer?
Copy/Text
Images/Graphics
Logo for the site
Layout
Website Requirements:
Text Buttons
Graphic Buttons
Static Logo
Sound
Animation
Site Maintenance
Website Analytics
Corporate Branding Package
Programming/Scripting Requirements:
Shopping Cart
Contact Us Form
Database Programming
Site Search
Chat Rooms
Customer Support
Blogs
Discussion Forum
Mailing List (Newsletter)
Custom Programming
Design/Style Preferences ( please indicate which type of website style you prefer):
Solid Color
Background Images
Light Color Pages
Dark Color Pages
Static Site
Flash Site
Flash Intro
W3C Compliant
Please provide additional information regarding your web project that will help us better understand your objectives:
SECTION 6: GENERAL INFORMATION
Preferred Communication Method
Phone
Email
Fax
USPS
Computer Sharing Access
What is your timeline for this project?
What is your estimated budget for this project?
$100-$1,000
$1,000 - $5,000
$5,000 - $20,000
$20,000 - $100,000
$100,000+
Please indicate which form of payment you wish to use:
Credit Card
eCheck
Personal Check
Wire Transfer