Name*:
First Last
eMail*:
Phone*:
Company Name*:
What are your design needs?*:
 I need everything - graphic design, templates, hosting, etc.
 I have my own design - I need you to code it
 I have a template - I need you to customize it
 I have a website - I need you to redesign it
 other
What is your website address: (If you have a current web site)
HTTP:// 
How many columns would you like in your design layout*:
 1-Column
 2-Column
 3-Column
 4-Column
 No idea how many I need
List a few websites that you like: (as a point of reference for us)
HTTP:// 
HTTP:// 
HTTP:// 
HTTP:// 
Please provide 3 or 4 websites that you like. We will not directly copy their
site design. This simply gives us an idea of what you like.
List any media that you possess and plan to use on your site.:
Logo
Photos
Artwork / Illustrations
Video
Other
Describe what you already possess and what you need us to create.

For example: I have a logo but I new a one created. Or, I have plenty
of photos but I would like other artwork and banners created. Or, I
don't have anything, I need you to create it all and take photos too.
Can you tell us anything else we need to know about your planned website?

Is there something that we haven't asked that you would like for us to know?

         
* Required information