Contact

Name:
Email:

Is this a/an: New Web Site Existing Web Site?
 new existing
Tagline
URL
Tell me about the nature of your business.

If a new site, have you registered a domain name for your site?  Yes No
If so, what is it?
Do you currently have a web hosting provider?  Yes No
If so, please provide the following contact information for your hosting provider:
Host Company Name (ex. GoDaddy, Hostgator, etc.):
FTP:
Username:
Password:
If no, would you like me to arrange Web Hosting?  Yes No
What city/state/area would you like to be associated with?

What is your budget for this project? $150 - $300$300-$600$600-$1200

What is the estimated time frame for completion of the project?

Websites come with 5 pages I need only five pagesI will need more than five pages

Please indicate all pages you want to include:  Splash – Opening Page FAQ Page Testimonial Page Welcome/Main Page Links Page Press Page Services Page Newsletter Pricing/Rates Page Contact Page Terms Page Portfolio/Gallery Page Schedule/Calendar Page Site Map

How would you like visitors to describe your new site? (Examples: modern, flirty, bold, fun, bright, elegant, clean, etc.)

Who is your target audience? (Examples: age, income, geographical area, etc)

What is your color preference? You can choose a color scheme here

Do you have a font style preference (script, block, old fashioned, etc)? You can choose fonts here

Describe the look and feel you would like for your navigational menu - horizontal or vertical - if you have a preference.
 horizontal vertical

Please list a couple addresses for websites that you like the look of and briefly describe why you like them. These sites may or may not be industry related and are VERY IMPORTANT for me to get a visual idea of the type of site you are looking for.

Please list a couple addresses for websites that you DO NOT like the look of and briefly describe why you do not like them. These sites may or may not be industry related and are VERY IMPORTANT for me to get a visual idea of the type of site you are looking for.

You never get a second chance to make a first impression. How should visitors describe your new site? (Examples: modern, user friendly, bold, fun, bright, calming, elegant, clean, minimal, etc.)

Do you currently have a logo and/or image that you want to incorporate into the web site?  Yes No

If you do have a logo, is it available to in a high quality digital format (.JPG, .GIF, .TIF)?  Yes, available in digital No, must be scanned

Are you able to provide the content (text portion) of the site in electronic format?  Yes, I can write it No, I need help

I encourage my clients to take care of their own site, if they have the knowledge to do so. I do however offer maintenance on an hourly basis if you should need it.

I will need to update the content of the site (only one, please):
---DailyWeeklyMonthlyNever or infrequently

My preferred method of updating is best described as (only one, please):
 I'll have my webmaster do it. I want to do it myself.

 Custom Landing Page $50 Animated Banner $35 Static Banner $35 Twitter Background $75 MailingList/Newsletter Setup $50 Contact Form $50 Calendar $50 Basic Search Engine Optimization $35 Private Domain Registration $35/yr Hosting $125/yr

Referred by: Google SearchYahoo SearchBanner or LinkFriendMessage BoardOther
If "friend", who referred you:
If you said other, please explain...
Please provide MBW with any other details that will aid in evaluating your needs: