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First Name * :
Last Name * :
Daytime Phone Number: (include area
code)
Email Address *
:
What type of Web site design services are you looking
for?
Do
you want your site to: (check as many as apply)
What is the most important action you want your
visitors to do when they come to your site?
(e.g. give you email address, buy something, request
more information, call or email you)
Estimated number of pages?
What kind of materials do you
already have or need created for inclusion on your site?
(check as many as apply)
Do
you already have your own Domain Name registered?
If yes, what is your domain name
(URL)?
Would you like
S ite D irections
to register a domain name for you in your name?
If yes, what name do you have in
mind?
Would you like help with getting a Web site host?
Would you like to learn how to take care of your own web
site?
List 3 web sites that you admire, explain why you like
them, and what aspects you would like to include in your
own site's design Site 1: Site 2: Site 3:
When would you like the project
to start?
Please use this space to add your
questions or comments or to provide information you
think would be helpful in describing your project.
How did you hear about
S ite D irections ?
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