Web Development Needs Submission Form

Please provide the following contact information:

First Name
Last Name
Title
Organization
Phone
FAX
E-mail

Type of Web Design needed

New Web Design
Upgrade Existing Web Site Design
Update My Existing Website
Maintain My Existing Website

What is the purpose of your website?

Establish a presence
Provide information
Provide service
Virtual community
Intranet/Extranet
Sell products
Other

Do you have a logo?

YesNo, but would like oneDon't Need one

About how many pages do you require?

Don't Know
0 Pages (Just need re-design or consulting on existing site.)
1-10 Web Pages
10-20 Web Pages
20-50 Web Pages
50-100 Web Pages
100+ Web Pages

How would you like your website updated?

I would like to maintain the website myselfI would like a content management systemI would like for another company maintain it

Do you need website hosting?

No
Yes

Please describe how your website will be used.

What is your budget for this project?

$400 - $1000.00$1,000.00 - $2,500.00$2,500.00 - $5,000.00Above $5,000.00