The information you submit will help us to design the best website for you. Please answer all questions as clearly as possible. If there are any questions that are not relevant, or that you do not know how to answer, skip them and go on to the next question.

First Name

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Last Name

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E-Mail Address

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Phone Number

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Company Name

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Web address, or proposed web address for the site

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Type of Site

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If other type of site, please explain

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What does your company do?

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What is the purpose of this site?

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Aside from text, images, links, and a contact form what other features or funtionality will this site require?

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When does this site need to live and running on the web?

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What is your anticipated start date for this project?

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List 3 sites in your industry that you think look great

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Do you have or need a logo?

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What colors do you prerfer for your site?

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What colors should we avoid?

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Do you have a domain registered?

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This site should have the following pages

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If other is checked, please list all other pages

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Is there anything else we should know about this site?

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