Marketing, website design and advertising solutions
for your small business.
Web Design Proposal Request
*
Name
*
Email Address
*
Email (again)
*
Company
*
Phone
Best time to call?
Do you currently have a website?
Yes
No
If yes, what is the URL?
What primary products and or
services do you provide?
best describes your current needs?
----- Select One -----
New Complete Website
New Complete eCommerce Website
Existing site needs redesign
Existing site needs new features
Need webhosting only
What is the purpose of your site?
----- Select One -----
Internet presence
Attract local customers
Broaden customer base
Convey an image
Provide information
Sell a product(s) online
Sell information
Collect user demographics
Publish a newsletter
Other
What services will your site need to provide? (check all that apply)
Contact / Info request or Feeback form.
General Information / F.A.Q.
Streaming Video a/o Audio
Newsletter / Mailing List
Company profile
Downloadable / Printable documents
Logo, Banner or other graphc design
Employment Listings
Service Page(s)
Secure online credit card processing
News / Announcements
Event calendar
Flash intro or other animation
Advanced navigation (fancy)
Bulletin Board / Forum
Password protected user areas
Map and driving directions
Informational / promotional popup
Classified Ads
Product Page(s) featuring
products
Shopping Cart featuring
products
Photo gallery featuring
photos
Do you need content written for your site?
Yes
No
List 3 competitor websites and what you like/dislike about them
1. http://
2. http://
3. http://
Other services desired:
Search engine registration
CD-ROM presentation
What are some short-term goals for your site?
What are some long term goals for your site?
When would you like to have
this project completed?
----- Select One -----
less than 2 weeks
2 to 4 weeks
1 to 2 months
3 to 4 months
5 to 6 months
6 months or more
What is the range of your buget?
----- Select One -----
undetermined
less than 1,000
1,000 to 2,500
2,500 to 5,000
5,000 to 7,500
7,500 to 10,000
10,000 to 15,000
over 15,000
When do you need this proposal by?
----- Select One -----
no more than two weeks
within 1 week
within 5 days
within 4 days
within 3 days
within 2 days
same day
Additional comments, questions or concerns:
How did you find us?
----- Select One -----
Search engine
Client Referral
Altavista
AOL
Google
MSN
Overture
Yahoo
Newspaper
Phone book
Word of mouth
Other
