General Information
Name:
Company Name:
Phone Number:
Email Address:
What is the purpose of the site?
Will we be designing the site from scratch or updating or redesigning a site?
Do you have access to all of the photos, logos, imagery and content etc. for the site? If so is it in a digital PC format or on hard copy?
If there are any sites which are similar in design, look or function to the one you wish us to create, please enter their URL's here and explain.
Domain Name
If you have already registered a domain name enter it here:
If you have not registered a domain name, list below the name(s) you are interested in. We will not register the domain without your consent. Please be advised not all domain names may be available.
1st choice
2nd choice (optional)
3rd choice (optional)
E-commerce :
Will any credit card transactions take place through the site?
How many products or services do you plan to sell?
This Page Last Updated
April 06, 2006
Designed & Maintained By:
TOGERNET Web Design