To begin our communication process, please fill out the form on this page. This will give me some quick info about your company & your current website ideas. Once I receive your submission, I'll contact you to set up a phone meeting.
Company & Contact Information
City, State & Zip
Please provide links to the social sites you already have accounts for (Facebook, YouTube, LinkedIn, Google+, Twitter, Instagram, Pinterest, etc.).
Tell me a little bit about your company. Describe your product(s) or service(s) and how they're different than your competitors. Also include basic company info, such as number of employees, number of years in business, etc.
Tell me about your strongest competitors. Include company names, website addresses, and any other info that will help me learn more about the industry.
Do you have a website?
No, but I've registered a name
No, I'd like you to include domain name registration and hosting in the proposal.
Enter primary registered name here. If you have additional domain names, you may enter those in the notes section at the end of the form.
Please list at least two domain names that apply to your company/needs
Select Preferred Services
Choose the services you'd like included in your proposal
(Please check all that apply)
Website Design & Development
Banner Ad Design
SEO (Search Engine Optimization) or PHIO (Practical Human Interface Optimization; user friendly site)
Search Engine Marketing (Paid advertising on Google, Yahoo & Bing)
Local Search Site, Mobile App & Map Site Visibility
Social Network Campaign
I'm not sure & would like your help developing a plan & goals
What is the goal of your website project?
(Promote a service, sell a product, get more leads, etc.)
Please list any design and functionality preferences. Providing examples (such as links to other websites) with a few notes helps me gain a better understanding of your tastes.
Do you have digital files of your logo, images and photos?
Some of them
Please list your requirements and approximate number of items for each.
(Photography, scanning, file conversion, etc.)
Do you have the text for your website in a digital format? (Text or Word documents, emails, etc.)
Please list your requirements
(Copywriting, editing, etc.)
Does your company have preferred or assigned colors that will be required in the project?
List PMS (Pantone) colors, Hex codes and/or CMYK values. If you're not sure, just enter general descriptions (i.e. Red).
Will your website require e-commerce capabilities?
How many products/services will be included in the store?
Bells & Whistles
What custom goodies would you like to see in your site design and functionality? (Please check all that apply)
CMS (Content Management System)
Photo Gallery (shows images with links to larger images or image groups)
Photo Post Gallery (shows images with links to blog-type pages)
Other design or function elements you prefer
Banner Ad Details
What size banner ad are you interested in?
Please check all that apply.
320 x 50 Mobile Leaderboard
468 x 60 Banner
728 x 90 Leaderboard
250 x 250 Square
200 x 200 Small Square
336 x 280 Large Rectangle
300 x 250 Inline Rectangle
120 x 600 Skyscraper
160 x 600 Wide Skyscraper
300 x 600 Half Page
Other / Not Sure
Where will the ad(s) be placed?
Will your banner ad require video or animation?
Search Engine Marketing Details
Which search engines would you like to place paid advertisements on?
Yahoo / Bing
All of the Above
How long do you need the ad campaign(s) to run?
When do you estimate the campaign(s) should begin running?
Please select an approximate date
Project Notes / Comments
What is your estimated timeline for this project?
What is your estimated budget for this project?
Please enter an approximate amount I need to keep in mind when creating your proposal.
Please provide any additional information that may be helpful in completing your project.
Please enter any two digits with no spaces (Example: 12)
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