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Contact Information
Client/Organization Name:
Address 1:
Address 2:
City:
Province/State:
Postal/Zip Code:
Country:
Telephone:		(xxx-xxx-xxxx)
Toll Free:		(1-xxx-xxx-xxxx)
Fax:		(xxx-xxx-xxxx)
Web site:		(www.yoursite.com)
Industry Sector:
Please give a brief description of your organization and its main activities:
Project Contact Information
		Mr. Mrs. Ms.
First Name:
Last Name:
Position:
Telephone:		(xxx-xxx-xxxx)
Toll Free:		(1-xxx-xxx-xxxx)
email:
Project Details
Project Type:		Please Select One Internet Hybrid Web/CD/DVD Intranet Extranet
If this is a new site, please suggest a domain name(e.g. www.yoursite.com)
Will you need hosting for your new web site?:		Yes No
Describe the end users of your site (i.e. who will visit and use the site?):
Project Goals
List the benefits you hope the site will bring your organization:
1.
2.
3.
4.
5.
List the benefits of the site for end users:
1.
2.
3.
4.
5.

Site Features:
Check the features/sections you would like your site to include:
	Flash Intro		News		French version of the site
	Home / Welcome		Site Map		Photo Gallery / Showcase
	Company Profile (About Us)		Mass e-mail (to registered recipients)		Products
	F.A.Q.		Calendar		Online product catalogue
	Contact		Document Sharing		Shopping Cart
	Services		Site Search		Discussion Forum (general)
	Testimonials				Discussion Forum (login required)
Other:

Graphic Design
		We have our own logo and would like to continue using it.
		We need new graphics for the web site only.
		We would like print-based marketing materials to complement the web site
Content
Text:		Select One We will supply all text We need help with copywriting
Graphics:		Select One We will supply web-ready graphics We will supply print-based graphics We need new graphics
Photos:		Select One We will supply web-ready Images We will supply prints We need new Photographs
Multimedia:		Select One We don't plan on using multimedia We will supply audio/video files We need audio/video production We need Flash animation
Content Management
Select the option that best describes your web site content management needs:
		The content of our site will rarely change. We will need help making periodic updates.
		The content in some areas of the site will change frequently. We will need help making the updates.
		The content in some areas of the site will change frequently. We would like a user-friendly means of making the updates ourselves.
		We need a complete content-management system for our site to keep pace with our ever-changing content.
Comments:
Time for development
Expected Time for completion:		weeks
Desired Start Date:		Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 , 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Desired Launch Date:		Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 , 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014
Budget
Understanding your budget for this project will help us in drafting our proposal.
Estimated budget:		Select One Less than $1,000 $1,000 to $2,500 $2500 to $5000 $5000 to 10000 Over $10,000
Comments:
Describe how your web site fits into your overall marketing strategy or organizational plan:
Other
Please provide us with any other information that would be helpful to us.