Company Name 
 
Your Full Name 
 
Your Email Address 
 
Your Telephone Number
 

Please tell us what items or materials you can provide us at our initial meeting for inclusion in our assessments.
 

		Brochure ( Print or Electronic Copies )
		Artwork and/or Photographs
		Copy/ Subject Matter Written Content
		Logo ( Original Artwork)

Select all buttoned items that you anticipate your website will require or need.
 

	Need Design of New Website
	Need Website Domain Name
	Need Website Hosting (Web Server)
	Need  Content Assistance ( Written Copy)
	Need Website for selling  products
	Need Website for selling services
	Need a Website for informational purposes only
	Need Customer Feedback and/or Support Online
	Need Payment Processing Online ( E-Commerce)
	Need Online Forms ( Obtains Customer Information)
	Need Search Engines Optimization ( Google, Yahoo, Bing, etc. )
	Need Customized Web-Marketing Campaign
	Need Email marketing campaigns
	Need Online Forums, Blogs, Bulletin boards, etc.
	Need Ongoing Monthly Website Support and Maintenance

How many Sections (Webpages) do you estimate you will start your site with ? Please select the buttoned items you may need or anticipate ?
Less < 5 Webpages/Sections
5 to 10 Webpages/Sections
11 to 15 Webpages/Sections
16 to 50 Webpages/Sections
50 to 100 Webpages/Sections
101 or more Webpages/Sections

Please describe for us your future website expectations. For example: What do you envision your website will do for you or your company in the future ? Are there any special features or styles you want us to consider in your design?

I want to include these features in the design:

Please list at least 3 competitor websites as an example that you admire or like the look and feel and/or navigational qualities. http:/www. not needed.

I like these websites and the reason is:

 

 RETURN TO EMPARC HOME PAGE