Smalls Information Techologies


*Fields with a red asterisk are Must.**
About Yourself
Company Name	*
Nature of Business
Contact Person	*
Address	*
City	*
Zip	*
Country	*
E-mail Id	*
Phone	*
Fax
Best Time to Call
How did you find us?

What do you want from your site

Briefly describe in a few sentences the services and/or products your organization provides, then write a sentence describing your proposed target market:

What are your primary products and services that you'd like to offer on your web site?

What are your desired results from having a web site? Will your online business generate sales, offer services, support, generate leads, provide customer service, etc...?

Check off what you would like your Web Site to accomplish (check all that apply):

Generate leads for your business
Develop mailing lists for promotions and/or announcements
Reduce printing costs
Customer Service and Sales Materials
Public Relations
Selling Products and/or Services
Target specific audiences
Market Research
Other (enter below)

Do you have a business plan for your web site?

Yes
No

Your budget for the Web Site:

Budget undecided
$500 - $1,500
$1500 - $3,000
$3,000 - $5,000
$5,000 - $10,000
$10,000 +

Any additional comments or questions?

Your competition and your site

Are there any sites already on the Internet that you'd like to use as a guideline for your site?

What exactly do you like about the above site(s)?

Who are your major competitors on the Internet?

Do you have a web site now?

Yes
No

If YES, what is the URL of your web site?

Is your current web site doing what you expect?

Yes
No

If NO, what is wrong with your existing site?

About Your Site

Do you want your own domain name? (http://www.yourname.com)

Yes
No

If Yes, what domain do you want, if available?

Do you already have a domain name reserved?

Yes
No

If you already have hosting, please tell us where:

How many pages will your site need?

1-5
6-10
11-15
16-20
21-25
25+

Do you have graphics and photos to put on your site?

Yes
No

What format are your graphics in?

Hard Copy (needs scanning)
Electronic Format

Do you have the text ready for your Web Site?

Yes
No

If Yes, is it in electronic format? (Word, Works, Publisher, PageMaker, etc.)

Yes
No

Would you like a custom graphics package, or would you like to use one of our pre-designed templates? (Includes navigational graphics, buttons, etc.)

Custom
Template

Do you want us to maintain your site and make updates, or do you want to make changes on your own?

Yes, you do it
No, we'll do it ourselves

If you want us to maintain your site, how many updates do you think your site will need each month?

none
1-5
6-10
11-15
16-20
21-25
25+

Check any additional features you'd like to have:

Guestbook
Bulletin Board/Online Forum
Feedback Form
Chatroom
Animated Graphics
Database or Catalog
Shopping Cart, Secure Online Sales

Is there anything else that we haven't mentioned?
Any questions or comments?