What type of project are you interested in?
New Web Site
Web Site Redesign
Web Site Upgrade
E-Commerce Based Web
Application
Web Portal
Website Application
with Shopping Cart
Others
What is the intended purpose of your web site?
Personal Web Site
Simple Business Web Site
Advanced Business Web Site
E-Commerce Solution
Custom Solution
What is the name of your web site?
What is the address of an existing web site?
What type of web site do you require?
Static (HTML, Static Images)
Dynamic Web Application
[ PHP / JSP / ASP ]
Database based Web
Application
Dynamic (Flash Multimedia)
E-commerce Based Shopping
Cart
How many pages do you anticipate on your web site?
1-4 pages
5-9 pages
10-19 pages
20-29 pages
30-39 pages
over 40 pages
I have no idea
One Page Only
Will you provide us with prepared source material?
Yes
No
Have you registered a domain name?
Yes
No
Have you chosen a web hosting provider?
Yes
No
How quickly would you like to launch your new web site?
Very Urgent
within 1 week
1 - 2 weeks
2 - 4 weeks
4 - 6 weeks
6 - 8 weeks
over 8 weeks
No Time Limit
What budget do you have available?
less than $100
$100 - $200
$200 - $500
$500 - $750
$750 - $1000
$1000 - $1500
$1500 - $2000
greater than $2000
I do not wish to disclose
Select items of interest that you would like to incorporate into your web site.
ADDITIONAL COMMENTS:-
Please, describe any specific aspects of the web site you want to update.
Are there any web sites you would like us to follow or any web sites that you particularly like?
If you have any additional comments or questions that we did not cover in the form, please, describe them.
