Your Information : Name : Email: Phone: Business Name : Type of Business:   Site Information: Approximate pages for site:   Do you need to register your domain name? YES NO   Is this site a re-design? YES NO   If re-design, list url:   Do you need a logo designed for your site? YES NO   Do you need us to purchase or take digital photos for your site? YES NO   Do you want image galleries to showcase your products or services? YES NO   If so, what is the approximate number of images?   Do you need forms on your site such as this page? YES NO (posting your contact info is free)   If any, what is the approximate number of products or services you offer?   Look & feel. List addresses of sites you like:   Do you want to implement video to your site? YES NO   Do you want any animation on your site? YES NO   Do you want an affiliate program for sites that refer customers? YES NO   Do you need membership capabilities or private login pages? YES NO   Do you  need a shopping cart for surfers to store purchases? YES NO   Do you need a client database or search feature? YES NO   Do you  need to accept credit card transactions on your web site? YES NO (posting your contact info to place orders is free)   If YES, do you have your own merchant account? YES NO   How many times per month will your site be updated?   Referred by?   Time frame for completion?   Do you need consulting to maximize your profits? YES NO   Do you plan to promote or advertise your site? YES NO   Your budget: $2,000 $5,000 $10,000 $25,000 $50,000 + Comments: