Website Request Checklist

Use this form to tell us exactly what kind of website you would like for yourself or your business.

Contact Information

Please leave an email address where we may contact you.

Enter your phone number

About your Business

Please tell us about yourself or your business

Please describe the nature of your business or website.

Explain what types of services or product your business offers or would like your website to offer.

Domain Information

Have you registered a domain name?

If Yes, what is your domain name?

If you have not registered your domain name, would you like us to register a name for you?

If you would like us to register a domain name for you, please list your top choices for a domain name, or let us know if you would like us to recommend some for you.

Have you purchased a hosting plan?

If you do not have a hosting plan setup, would you like us to give you a hosting quote?

About your Website

What is the purpose of your web project?

If you selected Other, please tell us about your website's purpose.

Who is your Target audience?

Please select what kind of pages and functionalities you would like your website to have.

If you selected Other, please list any other functionalities you would like on your website.

About your Website Design

Please select the service(s) you would like featured in your website design.  Check as many as apply, this will help us develope a unique design for your website.

Please let us know if you have any other elements or functionalities you would like included in your website design.

Would you like us to come up with a custom Logo Design for you?

How will images, photographs and other graphical content be supplied?

How will Text / Content / Copy be created for this project?

What is your Time Frame for completion of your project(s)?

Please provide us with some addresses of web sites that you like, and tell us why.

Please list any additional comments or questions you have here.