REQUEST FOR INFO (WEB DESIGN & DEVELOMENT)
Company / Organization     
Comapny Address      
Postal Code      
Country     
Office No      
Fax No      
Contact person      
Mobile No      
Email      
Website      

 (If any)
Referral domain      

 (If any)
Referral Name      

 (If any)
Do you own a web space or web server with any hosting company? Yes
No
Other (please specify):
What is the purpose of your site? (check all that apply)* Establish an online presence
Provide information
Sell products online (e-commerce)
Sell products via an auction base
Provide customer service
Offer a virtual community
Intranet/Extranet
Other (please specify):
What type of site design services are you looking for?* Design of a new site
Maintenance/upgrade existing site
Other (please specify):
If you are designing a new Web site, what will you be providing to the Web site designer? (check all that apply)* Copy/text
Images/graphics
Layout
Site map
Nothing will be provided
Approximately how many Web pages do you need created?* 1-10
11-20
21-30
31-50
50+
What is your total estimated budget for this project?*
Current Promotion:
Who will do your site updates?   In-house, your company
An outside design firm or provider
Not sure
When would you like the project to start?* ASAP
In two weeks
In one month
In two months
Please describe the intended focus of this site and any additional requirements you may have (e.g. advanced features needed such as flash intro, database, etc).*

 
Inform me for promotions & special offers? YES
NO
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