New Customers

We require certain new customer information prior to starting a project. This information helps us see what your tastes and expectations are, which helps us create your quality Web site. Please take a moment to fill out this form or e-mail me. Thanks!

Web Page Information

Are there any sites on the internet that you are particularly fond of? If so, please list in the space provided below:

Do you have a specific color in mind for your web site?

Yes No

If yes, what?

Approximate size of web site?

Select  0-5 Pages 6-10 Pages 10-20 Pages 20-30 Pages 30+  

Do you have a Web Host?

Yes No

If yes, who?

If no, would you like us to provide hosting?

Yes No Unsure

Do you have a Domain Name?

Yes No

If yes, what?

If no, would you like us to provide a domain name?

Yes No Unsure

If Yes, what is your desired Domain Name?

Budget for this project?

Select $100-$300 $300-$500 $500-$1000 $1,000 - $1,500 $1,500-up

Is there a deadline?

- Please Choose - 2-4 Weeks 4-6 Weeks 6-12 Weeks 3-6 Months

Please describe your sites objectives:

Brief description of company / organization:

Who will be in charge of making decisions regarding this project?