Name: 
   Company: 
      City:  State:  Zip Code: - 
   Country: 
Email Addr: 
 Telephone: 

The intent of these questions is to help us understand how we can help you.


1. How many people do you expect to visit your site daily?
   
10 people
50 people
100 people
1000's 
10,000's


2. How many pages will you need to display?
   
Less than 10
Less than 20
More than 20
Don't know


3. What kind of content do you want to display?
   
Mostly Text
Mostly Pictures
Mix of Text and Pictures
Multimedia
Combination
Haven't decided


4. What is the monthly budget you've allocated for your Web Site?
   
About than $5/mo.
$10/mo.
$20/mo.
More than $25
Money is no object


5. Are you interested in a Dynamic Presence? 
   This allows you to change the appearance of your site periodically to coincide 
   with your marketing plans.
   
Weekly changes
Monthly changes
Seasonal changes
Infrequent changes 
Haven't decided


6. Do you need help in preparing your Web Pages?
   Yes  No  Not Sure

7. Will you want people accessing your site to leave information (like this form)?
   Yes  No  Not Sure


8. Will you want people to access your site and retrieve files?
   Yes  No  Not Sure

9. Do you want your site to be listed with your company name as the domain?
   This gives you the ability to have a site with the name 'www.yourcompany.com'.
   Yes  No  Not Sure

10. When is a good time to follow-up with you?
When: 
Immediately
Next Week
Two Weeks
 Day: 
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
 Time: 
11AM - 2PM
2PM - 5PM
5PM - 7PM



Finally, please add any information that will help us to more fully understand your requirements: