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Phone 321-277-4048

 

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TITLE:
NAME:
EMAIL:
PHONE:


COMPANY INFORMATION:

NAME:
ADDRESS:
City:
State:
Zip:
Phone:
Fax:

Describe your Business:

What is your Companies Mission Statement?

How do you measure marketing success?

Your target market industry:

Are you marketing to a Specific Geographic Region?
Yes       No     If yes please describe:

Current marketing strategy:

Whats your budget for this Project: ($ in USD)
Less than $500 $5001 to $10000
$500 to $1000 10001 to 20000
$1001 to $ 2500 More than $20001
$2501 to $5000 Other

Company Size:
Small business 1-50 employees
Medium business 51-99 employees
Large business 100 or More employees

Desired Start Date:
Right AWAY! In 2 Months
In 2 weeks More then 2 months
In 1 Month    

Do you have a desired Completion DATE?
mm/dd/yyyy

What additional Services would you be
interested in?
Optimize Pages for Search Engines Recommend Pay-Per-Click Programs
Improved Link Popularity Mass Email Marketing
Submit Site to Search Engines Web Administration Integration

Additional Infromation:

Comments:

Questions:

How did you hear about Ombience Web Design?
Yellow Pages Newspaper
E-Mail marketing Internet Search

other:

Web Site:

Do you have a Registered Domain name?
Yes    
No  

If No, What Domains are you interested in purchasing:
(please list)

Would you like Us to Handle Domain Registration?		 Yes        No

How many sites do you want designed:
Do you need the Site Hosted? Yes No

Purpose of Site:
Sell products or services online
Marketing Tool
Information Resource
Organization/Corporate/Non-Profit
Provide Customer Service

What do you want to accomplish with the Site?

Major Competitors online address:

List a few or your Favorite Sites that you like
the look and Usability:

Desired Services: (check all that apply)
Content development Web address
Database capability Web site design
Email accounts Web site hosting
Flash design Web site promotion
Logo design Web site redesign
Credit card processing Shopping cart
Online forms Site maintenance
Photo digitized Undecided
Add to current site Design or Re-design Site
Logo design

If you are going to sell products, how many:
Estimated number of web pages:

Choose known pages from below:
Home page Product page
About page Search page
Link page Price/Payment page
Service page Contact page
Faq page Site Map page
Resource page

What kind of FEEL do you want for the site?
Simple, streamlined Complex, busy site
Serious, responsible Musical score
Photos Exciting, Dynamic, Progressive
Animation and narration Graphics and sound


How many photos/Graphics per page:

What Art Work do you need designed?

If this is a New Web Site, Is the text(content) written?
YES     NO     If YES, we need it in .TXT format.

If NO, Will you create it?           YES NO
If NO, Do you want US to create it? YES NO

How would you like to receive your quote?
E-mail
Phone