• Part 1 - ADMINISTRATION / SETUP

• 
  

  Referred By:   (Provide Full Name of Person who referred you)
  
  

• Your Company/Ministry/Organization Name*
  
  
  

• Your Phone Number*
  
  

•  
• Your Email Address*
   
• There can only be ONE Website Coordinator for a design project.
   
  Website Coordinator Name*
   
• Website Coordinator's Phone Number *   
   
  Website Coordinator's Cell Number (if different than above)    
   
  Website Coordinator's Email Address *
   
  Fax Number:  * (Fax is required to send/receive contracts)

  PART 3 - ADMINISTRATIVE INFORMATION

  We have two payment options available, choose which one you prefer:

  * Paypal Online (includes a 2.9% + $.30 transaction fee)
  * FREE Chase Bank Electronic Checking ONLINE (You do not need to be a current Chase customer for this service).

  What is your mailing address (we use this to send you a formal Estimate & Invoice as well as a hard copy of our brochure, business cards, holiday cards, etc.):

  • 
    
  
  
  

• Part 2 - WEBSITE DESIGN QUESTIONS

• What do you want your website to be called? (ie. www.mywebsite.com)*
• 
  www.or www.
•  
• Do you already have a Logo or Existing Graphics:
  Yes, I have existing graphics
  Yes, I have a logo
• Yes, I have logo and existing graphics
  No, I would like to have a logo designed at additional cost
  
•  
• Timely completion of your website design is totally dependent on timely submission of requirements.
•  
• How soon do you need the website up and running? ----- please select one ----- within 2 Business Days (a $200 rush fee will be added) 7-10 Business Days (HTML) 5-7 Busines Days (Content Management System) 12-15 Business Days (Flash) 30 days or more (Extensive Custom)
•  
• How long do you want to PRE-PAY to OWN your website name? ----- please select one ----- 1 year-$12.49/year 2 years-$11.24/year 5 years-$10.49/year 10 years-$10.24/year
•  
• If you have a DOMAIN COMPANY & HOST SERVER, please provide their name below. If not please leave it blank.
  
  I have an existing username/password for this domain/host server. (You will need this information for us to proceed)
• 
  NOTE: If you ALREADY have a domain company & host server company, further review of the host server company’s information is NECESSARY prior to website design acceptance.
•  

• Select the type of DESIGN you want?
   
  Professional Template-Based Design, custom branded with my own graphics

•      CHOOSE FROM OUR LIBRARY OF PROFESSIONAL DESIGNS at:  http://www.getyouawebsite.com/our-services.html ~  If you want our Design Team to search for you, a $50 additional fee will be assesed.
• Professional Template-Based Design (Flash), custom branded with my own graphics
•      CHOOSE FROM OUR LIBRARY OF PROFESSIONAL DESIGNS at:  http://www.getyouawebsite.com/our-services.html  ~ If you want our Design Team to search for you, a $50 additional fee will be assesed.
• 
  Create a CUSTOM DESIGN totally from scratch
• 
  Social Networking Online Community (ie. http://www.verticalleaponline.com)
• Do you want any music, voice or video MEDIA on your website? *
• 
   
• No, I don't want audio or video on my website
  
• Music
  Voice
  Music & Voice
• Music, Voice & Video Clips
• How many videos? (if applicable)    Type:  DVD .mp4/.flv/other ~ How long? (minutes)
• How many Audio/CDs? (if applicable) Type: CD .mp3/.wav/other ~ How long? (minutes)
• What color scheme? (Click the links below to GET the NUMBER of your color choice, then TYPE it in the boxes below ONLY if you are not choosing a professional design template from our library).  This allows us to give you the EXACT desired color for your design.
• 
  1. BACKGROUND Color (if you want another color besides a white background): (Click here to GET the number of the  MAIN COLOR of your website design background) 
• 
  2. ACCENT/HIGHLIGHT Color: (Click here to GET the number of the SECONDARY color of your design for your highlights and accents)
• 3. TEXT Color: (Click here to GET the number of the TEXT COLOR of your website design)
•  
• What services do you want to emphasize on your site? Identify what your site is all about in the box below. Don’t let anyone wonder what you do or what you sell.  Please explain in full detail the FOCUS points of your website.
• 
  

What DATA or information do you want to COLLECT from your visitors on your Contact Form?

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• Will you be SELLING any products / services?
  Yes (A Paypal Application will be required to be submitted)  How many products will you sell online?
  No
  
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• Will you have a photo gallery? Please check the appropriate box below.
  No Photos
  1-20 photos
  21-40 photos
  41-80 photos
  81-200 photos
  201+ photos
  
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• Do you want a FLASH HEADER (Animated Design) ~ Note:  This feature is not available for the $99 website design special
• 
  Yes
  No
  
•  
• Check all pages you want to include in your website
• 
  Home Page (All websites must have a Home Page)
• Additional Page(s):
• (This applies ONLY to the Multi-Page Websites, not the 1-Page $99 Websites):
• 
  Contact Form (Please include your Privacy Policy with the rest of your content)
  List of Products (shopping cart)
  Special Events
  About Us
  List of information (ministries, clients, etc)
  Audio download page
  Services provided
  Schedule for office hours, events (daily, weekly, monthly, yearly)
  Biography
• Mission / Vision
  Guestbook Page
  Portfolio
  Members / List of Staff
  Other Page(s):
  

 

PART 3 - TRAINING / MAINTENANCE (After the website is completed)

• Do You Plan to MAINTAIN your website yourself (Monthly Updates, etc.)
• Yes, but training is NOT needed
  Yes, however, training is needed and I am willing to pay an additional cost
• No, I do not want to maintain the website myself, I would like for your company to maintain our website
•      and do edits/updates at additional monthly cost
 

• PART 4 - ADVERTISING/MARKETING

• Do you have WANT to ADVERTISE your website and/or services. Check the methods you want.
  Radio Station ($50 monthly subscription required with at least 3 months paid already)
  Telephone Voice Broadcasting ($50 per 100 calls)
  Individual Email Advertising ($100)
• Individual Email Advertising with audio ($125)
• Individual Email Advertising with video ($150)
  Newsletter Email Advertising (included in $30 / $50 monthly subscription)
  Internet Radio ($150) – up to 10 mentions & interview
  

Additional Comments to the Web Team that you would like to mention: