:::: General Information ::::

*Full Name

*Company Name

*Primary #

* * Office Mobile Other

 Secondary

* * Office Mobile Other

 Other

* * Office Mobile Other

*Primary Email

 Secondary Email

 Priority

HighMediumLow

 Category

Web Design QuoteGeneral Inquiries Search Engine Submission SEOSite Maintenance

 Comments

*Budget

 Estimated Starting   Date

What will be the approximate size be?

(Refer to WebRates)

pages

 Type of business you have/are starting:

*How did you hear about GrafixBox?

Select From BelowGoogleYahooMSNDesign FirmsWord of mouthBusiness Card

 Time Duration

Days

 Deadline (if any)

 (MM/DD/YYYY)

New website Design Website Redesign

If this is for an existing site, what is the web address?

Do you already have a logo, or do you need your site designer to create one?

After the site is complete, what changes or updates will be required for the site's content (text, pictures, information)?

NoneA small change every few monthsA few changes every monthWeekly changesDaily changesNot Sure

Who will make these changes/updates?

GrafixBox will make the updates.I am (we are) capable of editing web pages.Not Sure

:::: Style Preferences ::::

Which phrases describe the kind of site you're looking for? (Check all that apply.)

Elegant
Conservative
Informal
Fun
Traditional
Modern
Retro
Bright Colors
Business Colors
Pastel Colors

Do you have specific color preferences? If so, please define them.

Optional: List the web addresses of 1-3 sites that serve as examples of what you do like in a web design.

Describe the products or services you sell.

Will pictures be required for each of the items you sell?

Yes
No

If "Yes," do you have pictures in digital form (computer files)?
Yes
No

Do you currently have a merchant account?

Yes
No

Do you have a copy of your logo in digital form?

I don't have a logo.I have a logo, but not in digital form.YesNot Sure

Estimate: How many photo images will your site require (other than ecommerce product images)?

No Photos
Few Photos
2-3 per Page
Many Photos
Full of Photos

Will you be able to provide good quality digital (computer) copies of these photos?

Yes
No

Will you require any of these functions on your site? (Check all that apply. Each function requires additional fees.)

Online Forms
User Registration/Login
Message Boards
Site Searching
Other Database Functions

Who would be arranging hosting for this site?

GrafixBox would arrange hosting for this site.I/We would arrange hosting for the site.Not Sure

What other information would you like to provide?