Basic Web Site Package Submittal Form  (Page 1)   Click Here to Print Page 2    

The Basic Web Site Package starts at just $599 and includes up to four pages of text and graphics: the Home Page and up to three additional pages describing your products and services. Please fill out this form and mail along with your deposit (to be calculated at the completion of this form) and any materials you have available to complete your web site. The address is listed at the end of this form. If you need additional space for any of the questions, please use plain paper for additional information.

Your Name:              Title:
Phone No.: E-mail Address:                                                       
Company Name:
Address:                 Suite #:
City: State: Zip:

1.

What name do you want for your site title (this could be a logo, your business name, or your web site name)?
2.

Has this domain name been registered?        Yes___       No___
3.

What is your purpose for publishing your site on the web? (What will this achieve for you or your company?)

 
4.

Describe any specific colors and layout you would like for your site.

 
5.

Do you have pictures or graphics that you want placed on your site and, if so, where do you want them placed?

 
6.

Are there any web sites that you would like your site to resemble? If so, what are the URLs (web site addresses)?

 
7.

What sections do you want included, such as "About Us", "Products and/or Services", "Contact Us", etc. (up to four pages included in price, each additional page at $65.00 each)
 
8. Do you want an Information Request Form on your site? If so, please list the purpose of the form and the information you want collected from each visitor. (If you need more space, please include on a separate sheet of paper.)