Web Design Quote Questionnaire Form

Web Design Quote Form
( Please fill out all applicable fields for a quote , then click appropriate button at the bottom of the second page)
Your Name*
Business Name*
Business Address*
E-Mail Address*
example@example.com
Contact Number*
Type of Business*
List some of your objectives/goals for your site
The image your website must communicate: (tick where applicable)*

ConservativeCorporateFeminineContent DrivenFriendlyFor ChildrenHi-TechFamily OrientedMedicalAcademicMasculineFunInternationalBeauty IndustryFashion IndustryOther
Other Information about Image : (Please Specify)
What are your web design goals? (tick where applicable)*

Provide a community serviceBusiness PortalProvide Product InformationBusiness IntranetSell Products OnlineSell AdvertisingOther
Web Design Elements
Colours to use: Specify one or two model sites that show us the color combinations you want, or tell us what colors you would like to use in your website.*
Look and Feel, Structure and Layout: List any sites you like. Doing this will help guide us when we design your unique website.*
Web page sections: List the major pages that you would like*

HomeAbout UsServicesProductsCommunityContact UsPrivacy StatementTerms & ConditionsOther
Others : (Please Specify)
Keywords
Please list keywords that will help customers find you on the web*
Will you supply a logo?

Yes I will supply a logo
Logo Design: Do you want us to design your logo? Please describe what you would like in the logo
BUSINESS: Help us understand your business goals
How many years has your business or organisation been in existence?
How many employees do you have in your company or organisation?
How involved will you be in the process of developing your site?*

Not muchI want to turn it over to youSome interaction on design, text and featuresI want to be involved every step of the way
Other Services required ( Please tick where applicable)

Integrated DatabasesMenu DesignTechnical SupportLogo DesignSMS Message IntegrationFlyer Designe-Flyer DesignLeaflet DesignPricelist/Brochure DesignTicket DesignPoster DesignAdvert DesignBespoke StationeryBanner DesignSize ChartColor SwatchesThank You Card DesignCare Card DesignBusiness Card Design
Others : Please List
Advertising (If Applicable): Where do you want to display the advertising on your web site?
Features*

Inquiry FormFlash BannerFlash IntroShopping CartDiscussion ForumChat RoomStreaming VideoNewslettersUser RegistrationWelcome Pop-up (collects emails)Stock Counter (visible to customers)Store LocatorColor SwatchesIn-Menu PromoQuick ViewEU TranslationsEvent CalendarAge VerifierCountdown TimerBreadcrumbsSize ChartBooking/ Scheduling AppOther
User Registration ( if applicable): Describe what Registered Users can do on your Website
Technical Information
Do you already have a website hosting server
If you already have a website, what is your web address?
If not, what would you like your web address to be (list a few ideas)
When would you like to launch your website?*
How much budget have you allocated for your website design project? (State in USD)*
If you have a discount code, please enter it into the box below
Should be Empty:

Web Design Quote Form

Web Design Elements

Keywords

Technical Information