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Name:
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E-mail address:
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Telephone:
Contact Preference:
Email
Telephone
Company:
Current Website:
How did you hear about us:
Project Description:
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Security Code:
Primary Objective
What is the primary goal or objective you wish to achieve from this web site?
What is the primary goal or objective you wish to achieve from this web site?
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Generate Awareness
Communicate with Clients/Customers
Gather Sales Leads
Generate Site Traffic
Generate Online Sales
Provide Our Information (Brochure)
Promote Our Services
Capture Visitor Data (e-mail addresses)
Provide Content (Publication)
Generate Advertising Revenue
Provide Customer Service
Internal Use or Intranet
Distribute Documentation
Service Existing Clients
Other
Other:
Additional Objective
What are some of the other goals or objectives you wish to achieve from this web site?
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Make a Selection
Generate Awareness
Communicate with Clients/Customers
Gather Sales Leads
Generate Site Traffic
Generate Online Sales
Provide Our Information (Brochure)
Promote Our Services
Capture Visitor Data (e-mail addresses)
Provide Content (Publication)
Generate Advertising Revenue
Provide Customer Service
Internal Use or Intranet
Distribute Documentation
Service Existing Clients
Other
Other:
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Make a Selection
Generate Awareness
Communicate with Clients/Customers
Gather Sales Leads
Generate Site Traffic
Generate Online Sales
Provide Our Information (Brochure)
Promote Our Services
Capture Visitor Data (e-mail addresses)
Provide Content (Publication)
Generate Advertising Revenue
Provide Customer Service
Internal Use or Intranet
Distribute Documentation
Service Existing Clients
Other
Other:
Competitive Analysis
Please list any urls of web site(s) similar to the web site you wish to develop.
Site Functionality:
Please list all components and tools you would like incorporated within your web site.
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E-Mail List Database (capture visitor e-mail addresses within a subscriber list)
Flash Animation
Slide Show or Process Movie
Video or Streaming Media
Content Management
E-Commerce System<
Secure Area / User Login
Corporate Identity / Logo Design
FTP/ File Upload
Statistics
Other Please Describe:
Estimated Size of Web Site:
Please select the estimated number of pages (screens) you anticipate the site containing. This can be based on the number of pages on your current site or an estimate of pages required for the new site.
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1 - 5
6 - 9
10 - 25
26 - 50
51 - 100
Over 100
Dynamic
Not Applicable
Site Content:
Where will your site text and images come from?
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Take from our current site
Take content form current printed material
We will supply new content
We require assistance with copy writing and images
All of the above
Required Completion Time:
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Less than 30 days
30 - 60 days
60 - 90 days
90 - 120 days
120 days or longer
Specific Completion Date:
Estimated Date To Start Development:
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