Company Name
 
  First Name:
  ^{* Required field}
  Last Name:
  ^{* Required field}
  Year of Establishment
 
  Address:
  ^{* Required field}
  City:
  ^{* Required field}
  State/Province:
  ^{* Required field}
  Zip:
  ^{* Required field}
  Country:
  ^{* Required field}
  Phone:
 
  E-mail address:
  ^{* Required field}
  Your Company URL:
  (ex. www.riopasodesign.com)
 
  Briefly describe the service or product
  your company provides:
 
  What are your budget requirements or restrictions?
 

  Who will make the decisions about the Website?
  Full Name:
 
  Email:
 
  Will anyone else be involved in the decision process?
  (If so, please describe below)
 

  Please indicate who is your direct competition
  Company Name:
 
  URL:
 
  Please add any additional names and URLs below:
 
  Describe what you like or dislike about their Websites:
 
  What (products and/or services)
  distinguish you from your competition?
 
  Identify 4 Websites (URLs) that reflect the
  style, color and feel you would like for your Website:
 
 
 
 
  Describe what you like (and dislike) about those sites:
 
  Describe the colors and style/feel
  you wish to have in your Website:
 

  Describe your target market:
  (ex. professional women ages 18-24, etc.)
 
  How does your target market connect to the internet?:
  Dial-up DSL Cable

  When someone remarks about your company,
  what would you like them to say?
 

  We need our Website to...
  feature information about products/services
  advertise and/or sell products/services
  reflect our vision/purpose
  be better than our competitors'
  create an Internet presence
  Other: 

  Style - Select the most appropriate Statements:
  Our site should be easy for us to maintain ourselves.
  Our site should have a very professional style and feel.
  Our site should be warm, welcoming - casual
  Our site should feature lots of Flash, graphics, animation
  Our site should load quickly - less graphic intensive
  Other: 

  Expected Number of Pages: 
  Will your site have Forms or Newsletter Subscription forms?
  Yes   No
  Describe:
 
  Describe the graphics you can/will provide:
 
  Describe the graphics to be developed by the Web designer:
 
  Stock photography requirements/budget if any:
 
  Will your site feature files/graphics
  to be downloaded for free?  Yes   No
  Describe:
 

  Will your site use a shopping cart?   Yes   No
  If so, you will require shopping cart technology,
  merchant accounts, and the ability
  to accept credit card payments.
  A secure area of your site may also be required.
 
  Will your site feature a 'members only' area?
  Yes   No
 This will also require a password-protected area,
  which may or may not require a secure area.
 
  Will your site require the use of a database
  to update and store product info?   Yes   No
 
  Will your site contain Flash, video, audio, or animations?
  Yes   No
 
  Other: