| First Name: |
|
| Last Name: |
|
| Do you have your
domain name? |
NO
Yes |
| - If yes, what is
your website address? |
|
| - If
no, what would you like your
website address to be? |
|
| Project Start Date |
|
| How many pages do
you need? |
1-5
pages
5-10
pages
10-25
pages
More than
25 pages
I
don't know |
| Is the content for
your site prepared? |
NO
Yes |
| Design Comments |
|
| Functionality
Elements Needed |
|
| Functionality
Comments |
|
| Would you like to
have your website Search Engine Optimized? |
NO
Yes |
| Would you need
monthly updates or modifications? |
NO
Yes |
|
What is your website budget? |
|
| Email: |
|
| Phone: |
|