Company Name:

Company Address :

City or Town :

State/Province :

Zip/Postal Code:

Country:

Contact Name:

Phone:

Fax:

Email Address

Do you have your domain registered? yes no

If yes, what is the address(www.yourcompany.com):

Do you have hosting? yes no

What are the five key objectives of your site?

Are you selling a product or a service? yes no

If yes, would you need E-Commerce? yes no

How many products are you planning to sell? N/A 1-10 11-20 21-30 30-50 50+

How many images would you have on the site? 1-10 11-20 21-30 30-50 50+

How many pages do you anticipate your site should need ?

1-10 11-20 21-30 30-50 50+

What sections apply to your project (check all that apply)

Branding Design (Branding Design starts at $2,500 and includes a logo, color palette and character if needed. Also included are 3 print ready files of Business Cards, Letterhead, Envelopes & Mailing Address lables)

Flash Intro

Character Animations

About Company or Product

Bio or Profiles

Product Preview

Images or gallery

Media Clips (audio tracks or movies)

Shop/Purchase Page

Press Section

Testimonials

Events

Frequently Asked Questions

Terms & Conditions

Contact Form

Other (please specify)

Do you have all of your copy ready for the site?

What is your approximate budget? $3,500 - $5,500 $5,500 - $8,500 over $8,500

What date would you want your site to be up and running? 1-2 months 2-4 months 4 months or later

What is the latest date your site can be up and running?

Tell us more about your company - the main positives and the key strategies and objectives of the business:

Are there any regulatory or personal mandatories that must be on the site (i.e. member FDIC for a bank)? yes no

How did you hear about us?

This is the braindump portion, in other words... express your feeling about your business, the site and what kind of personality or brand concept you want for your site (remember no ideas are bad ideas):

When would be the best time of day to have an hour or so discussion to review and answers and to get the more cerebral aspects of what you are looking for?
morning noon weekend