PROJECT REQUEST FORM

    First Name (required)

    Last Name (required)

    Email Address (required)

    1. Name Of Project

    2. Purpose of the Project

    3. Type Of Business/ Industry

    4. Describe, in detail, what you would like us to do.

    5. Do you have a domain?

    YesNo

    5. If Yes, what is your URL?

    6. Do you have an account with a hosting company?
    YesNo

    7. If Yes, do you have your account information?

    YesNo

    8. If Yes, provide account details

    9. What email address do you want to use for your admin access?

    10. Please list what you want on your menu bar of your website.

    11. Website Features Required

    Email Subscription SignupShopping CartBlogVideoPhoto Gallery

    12. If you checked Email Subscription Signup, what autoresponder do you want to use?

    13. Provide details to your autoresponder.

    14. Do you have an opt in gift?

    YesNo

    15. If you checked yes, provide link where we can view.

    16. If you checked yes for video, what are the dimensions of your videos?

    17. What is your video hosting service?(If Applicable)

    Easy Video SuiteVimeoWistiaYouTube

    18. Provide your social media links that you want on your website.

    19. Select your web content that is ready to be added to your website?

    CopyImagesVideosDownloads

    20. If you didn't select Copy, provide a date when it will be available.

    18. If you didn't select Images, provide a date when it will be available.

    19. Will you budget and we purchase the images for you?

    YesNo

    20. If you didn't select Videos, provide a date when it will be available.

    21. Will you need our services?

    YesNo

    22. If you didn't select Downloads, provide a date when it will be available.

    23. Will you need us to create the downloads for you?

    YesNo

    24. List 3 sites that have a similar look that you desire to have. Tell us as much as possible what makes the sites desirable.

    25. Describe what graphics you have available to use for your website.

    26. What is Your Desired Date To Have This Project Completed?

    27. What is Your Desired Date To Have This Project Completed?

    28. How did you hear about us?

    29. Anything else we need to know?