| *Name |
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| *Email Address |
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| *Email (again) |
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| *Company |
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| Phone |
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| Best time to call? |
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| Do you currently have a website? |
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| If yes, what is the URL? |
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What primary products and / or
services do you provide? |
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| Which best describes your current needs? |
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| What is the purpose of your site? |
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| What services will your site need to provide? (check all that apply) |
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Contact / Info request or Feeback form. |
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General Information / F.A.Q. |
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Streaming Video a/o Audio |
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Newsletter / Mailing List |
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Company profile |
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Downloadable / Printable documents |
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Logo, Banner or other graphc design |
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Employment Listings |
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Service Page(s) |
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Secure online credit card processing |
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News / Announcements |
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Event calendar |
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Flash intro or other animation |
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Advanced navigation (fancy) |
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Bulletin Board / Forum |
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Password protected user areas |
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Map and driving directions |
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Informational / promotional popup |
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Classified Ads |
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Product Page(s) featuring
products |
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Shopping Cart featuring
products |
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Photo gallery featuring
photos |
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| Do you need content written for your site? |
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| List 3 competitor websites and what you like/dislike about them |
| 1. http://
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| 2. http://
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| 3. http://
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| Other services desired: |
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Search engine optimization and registration |
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| What are some short-term goals for your site? |
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| What are some long term goals for your site? |
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When would you like to have
this project completed? |
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| What is the range of your buget? |
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| When do you need this proposal by? |
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| Additional comments and/or concerns: |
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| How did you find us? |
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