Business/Client Name *

Contact Person's Name *

Email Address *

Phone Number *

Fax Number

Mailing Address *

City *

Province *

Postal Code *

Is this:  A New Website A Re-Design/Re-Development to an Existing Website

Do you currently have a domain registered?  Yes No

If yes, what is it?

Do you currently have a hosting provider:  Yes No

If yes, please provide the following hosting provider information:

Hosting Company (Provider):

Can your Server run MySQL/PHP5+?  Yes No ???

FTP Address:

Username:

Password:

If no, would you like for us to include Domain Acquisition and/or Web Hosting in your quote?  Yes No

What is the nature of your business?

Who are your competitors and what are their websites?

What are your ideal search phrases and keywords?

What is your ideal time frame for project completion?

What is your ideal budget for this project?

Describe your company colors or any color preferences you may have: (exact HEX codes are helpful!)

What type of 'image' or 'theme' would you like for the website to portray? (Professional, Corporate, Fun, Classy, Casual, etc.)

Please provide some examples of websites you like and why:

Please provide some examples of websites you DO NOT like and why:

Do you currently have a logo for use on your website?  Yes No

If yes, is it available in hi-res format or does it need to be scanned/edited?  Hi-Res Digital Format Needs Scanning/Editing

If no, do you need a logo created for you, for this project?  Yes No

Do you currently have images for use on your website?  Yes No

If yes, are they available in hi-res format or do they need to be scanned/edited?  Hi-Res Digital Format Needs Scanning/Editing

If no, would you like for us to include Stock Photography credits in your quote?  Yes No

Approximately how many images do you wish to include and how?

If you already have pre-existing materials, such as brochures & business cards, that you would like to pull fonts, styles, logos, or colors from, please zip them up and attach them at the bottom of this form.

What are your website's main requirements?

 Attract Clients Sell Product(s) Sell Services Provide Information/Resources Promotion Online Presence

Will you be providing content text in electronic format (to copy and paste), or requiring Copywriting and/or Editing services?

Please indicate all the known elements/pages you will need for your website. If you require more than one instance of the any of the following, please include in your extra comments field below.

 Welcome/Main Page Splash Page/Coming Soon Page Links/Affiliates Page Staff/Bio Page Contact Page (with Email Form) Breadcrumb Navigation Photo Gallery Testimonials Sitemap Search Engine Optimization Social Media Marketing & Integration Content Management System (CMS) Secure Shopping Cart/E-Commerce Career Opportunities Bulletin Board/Forums Pricing/Rates Page FAQ Page Online Catalogue Event Calendar Newsletters (with Archives) Locations Page (with Maps) Privacy Policy/Terms Slider/Animation Media - Audio/Video Other/More (Please Specify Below)

If you require other website elements/pages not listed above, or multiple instances of them, please include further information here. Alternatively, if you already have a Sitemap in mind, please explain below or include your sitemap document in the zip file you can attach to this request form.