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Quote by Goethe

We value your time, so let's make the best use of it!

To help us give you a reasonably accurate assessment, would you mind answering a few questions? By doing so, you'll be improving our efficiency and effectiveness in carrying out your website project.

Upon reviewing your information, we'll follow up with a call to clarify outstanding questions. Your thorough response will help us fine-tune our questions ahead of time.

Thank you!

*required fields

*Name:	*Title:
*E-mail Address:	*Phone Number:
Company Name:	Years in Business:
Industry:	No. Employees:
What is your product or service?
Address:
City:
State:	Zip / Postal Code:
Existing website?	Yes	No
If yes, is this a redesign?	Yes	No
Domain Name (if yes):
Do you have a logo?	Yes	No
Do you work with a marketing company?	Yes	No
Do you have marketing or promotional materials (brochure, business card, promotional items such as pens, t-shirts)	Yes	No
What purpose do you see your website fulfilling?
Are there any websites you like that exemplify the type and scale of your project? If so, please list domain names:
Describe your audience:
Special Functionality or Services Required? Online Product Catalog Shopping Cart Affiliate Program e-Commerce Email capture - newsletter Discussion Forum Photo Gallery Event Calendar Membership Database Article Syndication Blog Video Streaming Career Opportunities Virtual Builder Other (describe)
Service Territory:	Allocated Budget: my budget is less than $1,500
Number of Pages:
Copy Source:
Content Management System (CMS):
What means have you considered for marketing your website? Please check all that apply: Organic Search Engine Placement Pay Per Click Search Engine Placement Paid Inclusion Programs Inbound Links from Industry Affiliations Inbound Links from Professional Memberships Social Networking Sites Blog Forum Traditional Media (TV/Radio/Print Advertising) Online Advertising (Banner Ads, Classified Ads, etc.) E-mail Marketing Campaigns Direct Mail Other (describe)
Project Deadline:
How did you hear about us?

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