Name:
Company:
Street:
Street:
City:
State:
Zip:
E-mail Address:
Phone:
Cell Phone:
Goals & Background Info:
What is the purpose of the site ?
What are your goals for the site?
What services would you like?:
Domain Registration & Hosting:
Do you need a domain name?
Current (or requested, if new) Domain Name (URL):
Would you like me to set up hosting for you?
Additional Services Required:
Do you accept credit cards?
What features (functionality) or services do you want your site to have?
What promotion services would you like?
What other features or marketing services would you like?
Web Site Look & Feel, Graphics, & Copy:
What other sites do you like that are similar to the type of design you want?
What do you like about them?
Do you have a logo?
Will you provide the graphics, photos and other art?
What graphics, photos and other art do you need designed?
Will you write the text or will we write it?
Other information:
Additional Information:
Do you have a deadline when the site must be completed?
If yes, when:
Questions or other information we may need:
Thank You,
The Wizard will be back in touch, shortly.
