Web Design Information Request
Name:
required
Company:
Business Type:
Email:
required
URL (if you have one):
Phone:
What prompted you to contact us? (check all that apply)
Unhappy with Existing Site:
Channel for Business:
Starting a NEW Business:
Providing Information:
Other:
When would you like the Site running?
Target Completion Date:
Yesterday!
Next Few Weeks
Within 6 Months
Not Sure
Desired
Look & Feel
:
Impressive & Professional
Entertaining & Fun
Effiecient & Fast Loading (No Frills)
What size Site are you looking for?
Size Estimate (number of pages):
fewer than 5
5-20
20-50
over 50
help, no idea
Do you know of a site
similar to what you like?
The site I would like would include... (check any that apply):
Simple Animation
Buttons & Drop Down Menus
Flash Animation
Interactivity (Applications)
Shopping Cart
Online Order Form
Printable Order Form
Automated E-Mail Responses
Visitor Registration
Custom Audio & Voice
Password protected sections
Music Samples
Video Clips
Slide Shows
Database Intergration
Search Capability
PDF Documents
Other:
Who will supply the following:
Logo & Other Graphics:
Web Designer
Client
Photo Images:
Web Designer
Client
Written Content
Web Designer
Client
Message:
Web Design
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Social Media Management
•
Ecommerce
•
Custom Applications
•
Custom Audio & Video
Online Training
•
Webcasts
•
Sales Tools
•
Presentations
•
Lead Generation
•
Search Engine Marketing
Email Newsletters
•
Custom Copywriting
•
Hosting Plans
•
Print Design
•
Direct Mail
•
Logos
•
Corporate Identity Packages
•
Contact Us
email :
Media@pobox.com
Phone: 954-796-0135
Copyright 2012, Media Masters Design. Inc. , All Rights Reserved.
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Legal Notice
