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*Company Name: Address: Phone: *Contact First Name: How did you hear about AlyAnya & Associates? Select from List Referral Website Search Engine Just Surfed In *Contact Last Name: *Email: * In order to prevent the use of automated registration programs, please enter the code number shown. Services: What Web services are you interested in? Check all those that apply. Web Site Design & Development E-commerce Redesign of Current Site Logo Design Search Engine Advertisement Other Custom Design Web Site Hosting Web Site Maintenance Domain Name Registration Who will be the contact person(s) for your Web site? Will this be a new web site design or redesign of existing web site? Select from List New Design Redesign What is the budget for your project Website (U.S. Dollars)? * Does this include hosting and maintenance? Select from List No Yes If you already have a web site, then will you be using your existing content? Select from List No Yes Is there a deadline for this project? Select from List No Yes Background: Describe the nature of your business. List the services that your company currently provides: How many pages do you anticipate that your web site will have? * Select from List 1 2 3 4 5 6 7 8 9 10 or more How many online forms do you anticipate that your web site will have? Select from List 1 2 3 4 5 6 7 8 9 10 or more Goals, Purpose, Concept, Focus, Direction, Strategy and Message What is the core purpose of your website? Check all those that apply. Entertainment Improve internal communication Increase corporate, brand, product recognition Increase prospective customer base Reduce customer service calls Gather data Increase sales Other Logo and Corporate Identity Do you have a company logo? Select from List No Yes Do you have a corporate color scheme or any symbols/icons that should be incorporated in your web site design? Select from List No Yes Do you have a company slogan and/or mission statement? Select from List No Yes Content Do you already have an image/graphic content for your web site? Select from List No Yes Do you have text content readily available for your web site? Select from List No Yes Do you require assistance scanning or preparing your images? Select from List No Yes Would you like assistance to develop textual content for your web site? Select from List No Yes Approximately how many images would you like to use on your web site? * Select from List 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 or more Do you have anything in mind for background images or colors for your web site? Select from List No Yes E-commerce Are you going to accept credit cards for online purchase? Select from List No Yes List the name of your merchant account if you have one. If so do you currently have a merchant account? Select from List No Yes How many products and/or services do you plan to sell? Maintenance Would you be interested in updates and maintenance to your web site? Select from List No Yes Would you be interested in promoting your web site and/or register your site with search engines? (e.g., Yahoo, Googles, MSN, etc.) Select from List No Yes How often would you require updates? Select from List Daily Weekly Monthly Quarterly Other If you already have an idea of your own domain name, then please enter the name here (e.g., yourname.com or yourname.org) Set-up & Hosting Do you currently have a web hosting package? Select from List No Yes If yes, then what web hosting company currently hosts your site? Would you like help in acquiring and registering a domain name? Select from List No Yes What email software do you currently use? (e.g., Microsoft Outlook, IncrediMail, Lotus Notes) Would you like access to web statistics/counters on your site? Select from List No Yes Would you like a Guest Book as part of your web site? Select from List No Yes * Asterisk means Required Fields | Home | Pricing | Quotes | Domain Registration | Price Estimate | Copyright © 2001 - 2006 AlyAnya & Associates. All Rights Reserved. Designed and Created by AlyAnya & Associates Last modified: 04/16/08
*Company Name:
Address:
Phone:
*Contact First Name:
How did you hear about AlyAnya & Associates? Select from List Referral Website Search Engine Just Surfed In
*Contact Last Name:
*Email:
* In order to prevent the use of automated registration programs, please enter the code number shown.
What Web services are you interested in? Check all those that apply.
Who will be the contact person(s) for your Web site?
Will this be a new web site design or redesign of existing web site? Select from List New Design Redesign
What is the budget for your project Website (U.S. Dollars)? * Does this include hosting and maintenance? Select from List No Yes
If you already have a web site, then will you be using your existing content? Select from List No Yes
Is there a deadline for this project? Select from List No Yes
Describe the nature of your business.
List the services that your company currently provides:
How many pages do you anticipate that your web site will have? * Select from List 1 2 3 4 5 6 7 8 9 10 or more
How many online forms do you anticipate that your web site will have? Select from List 1 2 3 4 5 6 7 8 9 10 or more
Do you have a company logo? Select from List No Yes
Do you have a corporate color scheme or any symbols/icons that should be incorporated in your web site design? Select from List No Yes
Do you have a company slogan and/or mission statement? Select from List No Yes
Do you already have an image/graphic content for your web site? Select from List No Yes
Do you have text content readily available for your web site? Select from List No Yes
Do you require assistance scanning or preparing your images? Select from List No Yes
Would you like assistance to develop textual content for your web site? Select from List No Yes
Approximately how many images would you like to use on your web site? * Select from List 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 or more
Do you have anything in mind for background images or colors for your web site? Select from List No Yes
Are you going to accept credit cards for online purchase? Select from List No Yes
List the name of your merchant account if you have one.
If so do you currently have a merchant account? Select from List No Yes
How many products and/or services do you plan to sell?
Would you be interested in updates and maintenance to your web site? Select from List No Yes
Would you be interested in promoting your web site and/or register your site with search engines? (e.g., Yahoo, Googles, MSN, etc.) Select from List No Yes
How often would you require updates? Select from List Daily Weekly Monthly Quarterly Other
If you already have an idea of your own domain name, then please enter the name here (e.g., yourname.com or yourname.org)
Do you currently have a web hosting package? Select from List No Yes If yes, then what web hosting company currently hosts your site?
Would you like help in acquiring and registering a domain name? Select from List No Yes
What email software do you currently use? (e.g., Microsoft Outlook, IncrediMail, Lotus Notes)
Would you like access to web statistics/counters on your site? Select from List No Yes
Would you like a Guest Book as part of your web site? Select from List No Yes
* Asterisk means Required Fields
| Home | Pricing | Quotes | Domain Registration | Price Estimate |
Copyright © 2001 - 2006 AlyAnya & Associates. All Rights Reserved.
Designed and Created by AlyAnya & Associates
Last modified: 04/16/08