1).	What would you like us to do?
	General Web Design Services
	E-Commerce Related Services (By Selecting this answer you will need to answer the E-Commerce quote form below)
	SEO

2).	What type of Web site design services are you looking for at this time?
	Design of an entirely new Web site
	Complete redesign of an existing Web site
	Maintenance or upgrade to an existing site
	Enter your website URL:

3).	Will you be providing any of the following content or materials to us?
	Roughly how many pages?
	If you know the names of the pages, please enter them here:

4).	What is your total estimated budget for this website design project?
	$300-599		$2,500-4,999
	$600-999		$5,000-9,999
	$1,000-1,499		$10,000+
	$1,500-2,499

5).	Select which of the following applications you require:
	Custom Home Page Design		Email Blast for Regular Newsletter Distribution
	Logo Design		Directory DB
	Spam Resistant Contact Form		Ad Banner Management
	Admin w/ Content Management, CMS		Calendar/Events
	Photo Gallery		Membership/Login
	Blog		Flash Intro or Animation
	Other:

6).	When would you like the Web design project to start?
	Please Select ASAP In Two Weeks In One Month In Two Months More Than Two Months

7).	Please Provide a Reference Site or Sample Site that Best Reflects What you Like 'This is not a required field'
	Enter url here:

8).	Have you already registered a domain name and hosting for this Web site?
	YES		NO

9).	Please describe the intended focus of this site and any additional requirements you may have (e.g. advanced features needed such as streaming audio/video, database, secure pages, etc.)

Additional E-Commerce Questions

1). What type of e-commerce services are you looking for at this time? Please Select Design of an entirely new ecommerce website Complete redesign of an ecommerce website Maintenance or upgrade to an existing website Ecommerce/Shopping cart software only 2). What functionality are you looking for in your ecommerce site or software? Bulk Uploading of Products Secure Checkout & Order Processing Catalog Search Content Management Credit Card Processing Online Customer Comment and Feedback E-mail Notification/Invoices Search Site Inventory Management Log-in/Registration Multiple Shipping & Sales Tax Options Search Database Order/Customer Tracking Online Documents 3). Approximately how many individual products (SKUs) do you sell or plan on selling online? Please Select We are not selling product 1-24 25-99 100-999 1,000-9,999 5,000-19,999 20,000+ 4). Have you already arranged for hosting services? YES   NO 5). How soon do you need your project completed? Please Select ASAP In Two Weeks In One Month In Two Months More Than Two Months 6). If you are looking to upgrade or redesign your current Web site, please indicate the URL: 'This is not a required field' (i.e www.myweb.com)

Your Information
Name:		Contact No.:
Email:		Enter these digits into the box: