| Your Name: |
| Your Company Name: |
| Email Address: |
| Re-type Email Address: |
| Phone Number: |
| Contact me by: |
| Do you have a domain name? |
| Do you need hosting? |
| Is this a new site or a redesign? |
| If a redesign, give current website address |
|
| Approximately how many pages? |
|
| Do you need ecommerce to sell products online? |
|
| If yes, which credit card
company will you use? |
|
| Approximately how many items
will you offer? |
|
| Will any part of your site require
membership sign up or login features? |
|
| If yes, please describe: |
|
| Will this
site require any forms such as contact or registration? |
|
| If yes, please give further details
for the online form: |
|
| To
allow us to get a better sense of the look and feel you desire, list
addresses of websites you like and brief descriptions of what you like. |
|
| Give as many details as possible
about the type of site you want, including color scheme to match your
logo if you have one. |
| In days or weeks, how quickly
do you want the site on the Web |
|
| How were you referred (please be specific)? |
|
| Overall project budget range: |
|
| Are you interested in Simple Site Solutions, LLC providing
ongoing service, maintenance and updates to your website as needed, for a low monthly
fee? |
|
| If yes, please estimate how many updates and
select weekly or monthly. |
