Your Full Name

Company Name

E-Mail

Phone Number

What is the purpose of the website?
Brochure (Product or Service Information)
Community/Nonprofit
Entertainment
Sell Products or Services
Informational
Other (please specify)

Who is your primary audience?

BUSINESS/ORGANIZATION INFORMATION

What does your company do?

What types of products and/or services do you offer?

What is your mission statement?

Are there things about your competitor's websites that you like or dislike?

WEB SITE DESIGN

1. Select a design from these options. Indicate the design name and color, or type "No Preference" if you would like for us to choose one for you:

2. Have you completed marketing efforts in the past? If so, list the materials you can share with us to help us complete your site (i.e. logos, brochures, flyers, etc.)

3. Check up to 5 descriptive words that you want people to think of after they visit your site:

Professional Elegance Calm Powerful Entertaining Soothing	Fun Strong Peaceful Tranquil Concise Clean	Loud Youthful Bright Vivid Warm Contemporary	Casual Fresh Sharp Quite Cool Expert
Other (please specify)

4. What type of pages do you want included on your website?

Home Page Flash Intro About Us Contact Us

Affiliates/Links Product/Services Upcoming Events Staff

Make a Donation Shopping Cart Photogallery Discussion Forum

Other (please specify)

5. What elements would you like to incorporate into your website?
Guestbook
Hit Counter
Music
Scrolling Marque
Form

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