Web site design - order-form

First Name*:

Last Name:

Phone*:

Company or website name:

Email*:

Do you require content management?:

YesNo

Describe the type of business you have i.e. what type of products or services your company supplies:

Do you require a shopping cart?:

YesNo

Do you require an image gallery (without shopping cart):

YesNo

Do you require a members area:

YesNo

What makes your business unique?:

Tell us a something about your customers? (Age, gender, demographics etc):

What type of overall mood would you like to project with your new web site?:

Which colours should we use?:

Do you require help with images for content in your website? (approx. $25 per image):

YesNo

Please give us some examples of websites that you like::

What is the main purpose of your website?::

If "other" please specify:

If there is a deadline for completion, please provide it here:

How many pages will your website have?:

How did you find us?:

Website design brief