Custom Web Design Worksheet Please fill out the following form to help us understand your web development needs prior to a consultation or price quote. CONTACT INFORMATION   Name Company Name Address City, State, Zip Phone Email SITE INFORMATION Do you need a new site or a redesign of an existing site? New Redesign of: What is the nature of your business? Who is your target audience? Approximately how many pages will you need for your website? Describe the types of pages you will need. (i.e. About Us, Products, etc.) List additional features you want for your site. Check all that apply: Streaming Video Flash Logo Design Contact Us Form Mail List Extra Pages Image Gallery Forum List existing content you have that can be used for your site. (Logos, images, videos, brochures, CDs, etc.) List a few web sites that you like & describe what you like about them (i.e., layout, colors, style, navigation) For us to better understand your industry, list a few of your competitors' web sites Domain & Hosting Information Do you have a domain registered? Yes No If no, list the domain name you'd like to register: Do you need web hosting? Yes No Comments:

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