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PRE-WEBSITE DESIGN QUESTIONAIRE

Please complete the following Questionaire so that we can better assist you in developing a website best suitable for you!

 

Estimated Time to Complete this 4-Part Questionaire:  5-7 Minutes

 

  • 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.):