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Company Information
Name: 
Title: 
Company: 
Industry: 
Phone: 
Fax: 
Address: 
Address 2: 
City: 
State: 
Zip: 
Website: 
Email: 

Website Information
What are you looking to do with your current web site?
(Check all that apply) 
 New Web Design
 Update current web site design
 Add to my existing website
 Web site maintenance
 Search engine optimization
 Marketing and promotion
Please describe the nature of this project including your requirements and goals: 
Are specific features required? (i.e., e-commerce, content management, user registration, or other functionality?) 
What is your estimated budget for this project?   Under $1,000
 $1,000 – $1,499
 $1,500 - $1,999
 $2,000 - $4,999
 Above $5,000
What is your expected start date for this project?   ASAP
 Less than one month
 1-3 months
 4-6 months
 More than 6 months

Design Specifications
Does your company currently have existing design standards that are in place?   Yes
 No
 Working on them
Are there current elements of your site that you would NOT like to change in a future design? Please describe. 
Please list a few sites that you like or ones you have been reviewing that are similar to this project. 

Technical Specifications
Do you have an existing database or other system that will require integration?   Yes
 No
 Working on it
Do you have any preferred technologies that you would like us to utilize? Please describe. 
Are there any additional technical details that you would like us to consider in preparing the proposal? 
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