Contact Information
Name: *
Company name:
Email: *
Telephone: *
Current Website, Hosting and Domain Registration
Do you already have a website? *
Please select ...
YES
NO
If yes, please provide address:
Do you require website hosting? *
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Yes
No
Possibly
Do you require domain registration? *
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Yes
No
Possibly
Your proposed website project
Proposed website content & structure
Please detail how many pages you envisage your site having and proposed structure of site.
What is the purpose of your website
Sell online, promote services, attract
new business etc
Location of your clients local, national, international etc
Your competitors
Please list as many of your competitors
as possible
Website style
What sort of style would you like - corporate,
clean, sporty, business, kids etc
Websites you like
List any websites (competitors or not)
that you like and tell us why.
Design Preferences
Do you have any styling presferences regarding colours, fonts etc
Functionality
Does you site require any special functionality (forum, livehelp, mailing lists, photo gallery,
video, shopping cart etc)
Search Terms
What terms do you want your site
optimised for?
Additional Information
Images for the site?
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I have some images but need you to supply other images
I need you to supply images for the site
I have images to use on the site
Future site maintenance
Please select ...
I require future updates and want to update the site myself
I require future updates and would like west5web to do them
I do not require future updates
I may possibly require future updates
Do you have a budget?
Where did you hear about us?
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Google search
MSN search
Yahoo search
Other search engine
Yell.com
Recommendation
Other
Comments
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