| Name: |
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| Title: |
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| Company Name: |
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| City: |
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| State/Province: |
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| Country (if outside USA): |
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| E-mail Address: |
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| Phone: |
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| Would you like to be contacted by phone? |
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| Background & Objectives: |
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| What does your business do? |
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| Size of your company: |
Small
Medium
Large |
| What are your goals for the site? |
Sell products/services online;
approximate number:
Marketing tool to get new customers/clients
Information resource for current customers
Provide customer service;
What type of service?
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| Services Required: |
Design new site; number of pages
Re-design current site
Promote and market site
Special Project - describe below:
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| Domain Registration & Hosting: |
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| Do you need a domain name registered? |
Yes
No |
| Current Domain Name (URL): |
ex http://www.domain.com |
| Do you want hosting set up for you? |
Yes
No |
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| Additional Services Required: |
| Do you accept credit cards? |
Yes
No
We would like to accept cards |
| What features (functionality) or services do you want your site to have? |
Shopping Cart;
approximate products/services:
Site that uses information from our database.
What type of database do you have?
Opt-in Email newsletter or ezine
Collect surfer information for data gathering
Online Calendar
Visitors can download software or other files
Map to office
Portfolio
Privacy Statement
Podcasting
Flash
Online Services in Secure Area
Online quiz/ registration / file sharing/ polls /calculators
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| What promotion services would you like? |
Website Marketing Plan
Optimize pages for indexing by engines
Submit site to engines and directories
Improve link popularity
Recommend paid submission/pay-per-click programs
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| What other marketing services would you like? |
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| Web Site Look & Feel: |
| Consider how other websites appeal to you. Do you like bold or muted colors? Do you like lots of pictures or few? Do you like more modern artsy websites or more traditional conservative ones? Do you like changing images or moving text? |
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| What other sites do you like that are similar to the type of design you want? |
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| What do you like about them? |
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| What do you NOT want on your site? |
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| What graphics, photos and other art do you have? |
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| What graphics, photos and other art do you need designed? |
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| Web Site Content & Scope: |
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| Will you write the text or will we write it? |
I Write It
You Write It |
| Other information: |
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| Additional Information: |
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What is your design budget?
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$500 to $1000
$1000 to $3000
$3000 to $5000
$5000 to $10,000
$10,000 to $20,000
$20,000 to $50,000
Greater than $50,000
Or Specify:
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| What is your marketing budget? |
$100 to $500
$500 to $1000
$1000 to $3000
$3000 to $5000
$5000 to $10,000
$10,000 to $20,000
$20,000 to $50,000
Or Specify:
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| Do you have a deadline when the site must be completed? |
If yes, when:
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| Questions or other information we may need: |
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I would like to be informed of news and events at Nutrition Networks. |
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| Thank You! You will receive a response to your inquiry within 24-48 hours. |