1. Contact Information
Business Name
Contact Name
Mailing Address
Phone
E-Mail
2. What Does Your Business Do?

3. What Are Your Website Design Needs?
I am looking for a NEW website.
I am looking to RE-DESIGN my existing website.
I am looking for an E-COMMERCE website
I am looking for SELF MANAGEMENT website

4. Do You Have a Domain Name? (www.YourName.com)
Yes, I currently own www.
No, I am looking for: www.

5. Which Hosting Package Do You Need?
Basic Hosting: $20 (See our Services page for hosting terms & conditions)
Unlimited Hosting: $75 (See our Services page for hosting terms & conditions)
I already have hosting through somewhere else.

6. How many MAIN Pages on the site? ( List & Describe such as "home," contact" etc. )
1.2.  
3.4.  
5.6.  
7.8.  
9.10.

7. Do you have special colors, schemes, pictures, themes, etc. that you can provide?

8. Are there any other styles of websites you like? (competitors or otherwise)

9. Anything else specific you will need? (such as forms, databases, software, etc.)