WEBSITE DEVELOPMENT QUESTIONNAIRE
Complete,Submit, and Make Your Payment
.Give us a vision of your dreams. |
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Providing us the information below will help us to development a website that best fits your needs. Upon receipt of your information, you will be contacted by our office. If you experience problems with this form, contact us by e-mail or call us at 615-942-5597 or 615-838-8306. Thank you for your time! OUR FOCUS IS ON YOU!
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| First Name: |
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| Last Name: |
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| Address Street 1: |
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| Address Street 2: |
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| City: |
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| Zip Code: |
(5 digits) |
| State: |
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| Daytime Phone: |
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| Evening Phone: |
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| Email: |
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| Who is your primary audience?: |
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| What is the purpose of your Web Site?: |
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| Is the site for personal or business use?: |
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| What matereials do you have that you can share for the development of your website? i.e., photos, logos, brochures, etc.: |
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| What type of pages do you want included? i.e, Home Page, About Us Page, Product/Services, Upcoming Events, etc.: |
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| Provide us with the name of some websites you have seen that you really like?: |
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| What is the target date you would like to have your website completed?: |
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| What is the name you wish to use for your website?, ie.www.simpleanddirectpublishing.com: |
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| What is the business, or organization's name?: |
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