Should Be Web Design

Company Name		Address
Your Name		City,State,Zip
Email		Phone
What type of business does your company do?

What type of website do you want for your company?
Brochure-like; where visitors are able to learn about my company, then contact me offline. Interactive; where visitors are able to fill out forms (like this one) to make contact or place orders for offline payment.
Have you registered your domain name yet?
Yes No
If no, please list 3 ideas for a web address that you'd like to register.
#1 #2 #3
Do you predict that your website will need changes or updates periodically?
Yes No
Does your company have a logo?
Yes, we are able to supply our logo. No, we need a logo created for us.
If so, in what format are you able to supply it to us?
Electronic; we can send it to you on disk or email it to you. Print; we can mail it to you or bring it to our consultation. Both. Not applicable; we don't have a logo.
Do you have any other graphics you would like to use on your website?
Yes; we can supply graphics electronically and/or in print. No; we need graphics created for our website.
Do you have any comments you'd like to add? Please type them here:

How do you prefer to be contacted?
Email Telephone
When is the best time to contact you?
Morning Afternoon Evening