By
understanding your business needs, we can provide Website
options to improve your marketing, communications, and sales.
Please
take the time to fill out the following form with as much
information as possible. If
you do not know an answer or if a question does
not apply, feel free to skip it. All information
provided is kept strictly confidential.
Thank you for visiting our site. We look forward
to working with you in the near future.
Company:
Contact name:
Address:
City:
State: Zip:
Country:
E-mail:
Phone:
Fax:
How would you like to be contacted?
E-mail Phone
Snail Mail
How did you hear about Web Design Identities?
Brochure
Search Engine
Referral
Word of Mouth
Other:
What is this inquiry regarding?
Redesign of existing site
New site Implementation
Hosting site
Consulting
Describe your company's product or
service.
Do you have a domain name selected?
Yes
No
If so, what is it?
What do you intend to use your site for?
(Check all that apply)
Advertising
Sales Support
Recruitment
Informational
Customer Support
Ecommerce
Intranet
Other? Please Explain:
Will you accept credit card transactions
on-line?
Yes No
How many sections (web pages) do you think
your site will include? Some suggestions we have are the
following:
About Page
Home Page
Contact Page
Services
Products
Directions
Request a quote
News
List three sites that you find attractive, effective, or
functional: 1 2 3
Check the following services you are
currently using to promote your web site:
Yellow Pages
Business Cards
TV Ads
Radio Ads
Print Ads
Newspaper
Marketing Agency