Web Design Request Form

1
Full Name* This field is required.
First Name
Last Name
2
Company Name* This field is required.Company or personal name for the website
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E-mail* This field is required.
4
Briefly describe what your company does:
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Do you have a domain name? Do you have a hosting account? If so, please provide your domain name and/or hosting account information below.
6
Adjectives: Please list 5 (or more) adjectives that you think describe your company or should describe your company in order of relevance / importance
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7
Favorite sites: Please list 5 websites you like.Include the URL, what you like about each site, and what you would improve upon. (These sites don’t have to be in the same business realm. By getting sites they like, it provides a good feeling for their design sense.)
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Competitors: Are there any websites that you would consider your “competition”? Feel free to provide more information on how they are your “competition”, but, at minimum, provide for each competitor, include the company name, web address, and a list of “keyterms” that describe what they do and/or sell.
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Least favorite sites: Please list 5 websites you don’t like, Include the URL. What don’t you like about these sites? What redeeming qualities to they have?
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Ok
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Site Goals: What are your goals for the web sitein terms of you company goals? How is your site supposed to help your business?What is the purpose of your site?
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Your Budget* This field is required.
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Additional Information You Would Like To Let Us Know
Should be Empty: