Web Design Inquiry Form Name: Company Name: Address: Address Line 2: City/State/Zip Phone: Email: Do you have a company Logo? Do you have a company Logo? Yes No Website Status Website Status New Design Re-design Do You Require Web Hosting Do You Require Web Hosting Yes No Copywriting: Copywriting: Yes No Website Maintenance: Website Maintenance: Yes No Other Services: Will you be selling items? Will you be selling items? Yes No What are you selling? What is your goal for this site? How were you referred to us? What is your budget for this project? Do you have the deposit available to start? Do you have the deposit available to start? Yes No What is Your Deadline? Have you chosen a web address? Sites with similar ideas to what you’re seeking How Do You Accept Payments How Do You Accept Payments Merchant Account PayPal Other Where Do Your Customers Visit You? Where Do Your Customers Visit You? Computer Mobile Do you need a Content Management System (CMS)? Do you need a Content Management System (CMS)? Yes No Unsure Photo album or slideshow Photo album or slideshow Yes No Streaming Audio Streaming Audio Yes No Streaming Video Streaming Video Yes No Blog Blog Yes No Social Media Cover Image Social Media Cover Image Facebook Twitter LinkedIn Shopping Cart setup Shopping Cart setup Yes No 5 + 5 = Submit