Your
Name:
Business
Name:
Type
of Business:
City/State/Zip:
E-mail
Address:
Phone
Number:
( )- -
Best
Time To Call:
Please select..
Morning
Afternoon
After 5
-
Section 2 (Almost There!) -
A little bit about your experience, competition, and
product/service.
Steps
[if any] you have taken to secure a Web presence:
(Have a web address, sold on eBay, Created a web site,
etc.)
[If
any] Current Domain Names Owned/Run:
[If
known] List your main competitors and their web
addresses:
You
consider your target market to be:
-
Section 3 (Getting Closer!) -
[If known] Your guesses on what you need.
For more information, please see our Professional
Services page.
Estimate
of Total Number of Pages:
Please answer..
I'm not sure.
Probably fewer than 10
Probably around 20-25
Over 50
I
would like a Chat Room:
Please answer..
Yes I would.
No, I would not.
..
a Bulletin Board:
Please answer..
Yes I would.
No, I would not.
..
an Auction Service:
Please answer..
Yes I would.
No, I would not.
..
Secure/Password Protected Areas on my Site:
Please answer..
Yes I would.
No, I would not.
..
Data basing:
Please answer..
Yes I would.
No, I would not.
..
Shopping Cart:
Please answer..
Yes I would.
No, I would not.
..
Secure Credit Card Transactions:
Please answer..
Yes I would.
No, I would not.
..
Flash Intro:
Please answer..
Yes I would.
No, I would not.
..
Logo Creation:
Please answer..
Yes I would.
No, I would not.
..
Images Scanned:
Please answer..
Yes I would.
No, I would not.
-
Section 4 (Final Section!) -
Hosting and Description Information
I
would like to be Hosted by:
(note: see hosting )
Please answer..
Wirke.com Hosting
Another provider I will choose.
Please
describe, with as much detail as possible, what you
would like for your web site to look like, symbolize,
represent, and achieve. If you have any web sites that
you are fond of, like the design/layout of, or believe
they successfully accomplish the goals in which you are
trying to reach, please include them:
Please review what you have filled out, and if everything is correct, then please..