| Please
provide the following information: |
| *=compulsory
field |
| Name* |
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| Title |
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| Organisation* |
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| Street
Address |
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| Address
contd. |
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| City |
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| State/
Province |
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| Zip/
Postal Code |
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| Country |
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| Work
Phone* |
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| Fax |
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| Email* |
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| Website
address |
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| How
did you hear about us? |
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| 1)
Describe your Business/ Organisation |
| |
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| 2)What
best describes your type of Business? Please
check all that apply. |
| Business
to Business |
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| Business
to Consumer |
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| Professional
Association |
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| Non-Profit
Organization |
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| Government
Agency |
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| Other |
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| 3)
What is the objective of your site? Please check
all that apply |
| Marketing |
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Investor
News/ Information
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Public
Relations
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Customer
Service
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| Online
Sales |
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| Web-Based
Training |
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| Other |
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| 4)
Who is the target audience for the Web site?
Please check all that apply. |
| Large
Corporations |
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| Small
to Medium-Sized |
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| Businesses
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| Consumers
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| Partners |
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| Suppliers
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| Others |
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| 5)
Who are your main competitors? Please supply
Web addresses if possible |
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| 6)
What separates your Web site/product/service
from that of the competition? |
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7)
The information you supply in the following
chart will give us a better idea of what content
you
want in your Web site |
| No.
of Pages |
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| No.
of Images |
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| No.
of Forms |
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| Basic
Pages |
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Splash
Page: A visual introduction to your
Web site. It often contains animation and
can give the visitor the option of viewing
the page in different formats (i.e. Flash).
Homepage:
Usually the initial page a visitor sees.
It provides a quick, visual overview of
who you are and what you do.
Products/
Services: Describes additional products
or services your organization offers and
can supply pictures, prices, and other additional
information.
Contact
Information:
Supplies basic company information such
as addresses, phone numbers, fax numbers,
& important email addresses (usually
with direct links). It can also include
a feedback form for customer/client input.
About
Us:
Informs people about your organization.
It can include your corporate history, staff
profiles, employment opportunities, awards
and articles, as well as any other relevant
company information.
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Other:
(Please describe)
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Other:
(Please describe)
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Other:
(Please describe)
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| 8)
Would you like to incorporate any advanced functionality
or features? Please check all that apply.
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| Database
(dynamic generation of pages, updatable by you) |
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| Search
Capability |
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| User
Log-In (user enters personal profile information
for a customized, personal experience) |
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| Password-Protected
Areas |
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| Secure
Socket Layer Security |
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| Automated
Credit Card Processing |
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| Javascript
Rollover Buttons |
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| Animated
Logo |
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| Other
Animations |
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| Streaming
Audio |
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| Streaming
Video |
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| Other |
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| 9)
How are you currently marketing your company?
Please check all that apply.
|
| Web
Site (Existing) |
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| Banner
Advertising |
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| Search
Engines |
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Listing
In Online Directories
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| Banner
Swaps |
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| Associate
Program (allow partners to place links on their
Web sites and make profits from click-throughs
to your site) |
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| Brochures |
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| Press
Releases |
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| Direct
Mail |
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| Print
Advertising |
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| Radio
Advertising |
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| TV
Advertising |
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| E-mail |
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| Fax
Broadcast |
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| Yellow
Pages |
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| Trade
Shows |
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| Direct
Sales |
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| Other |
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10)
When would you like the Web site completed and
online?
(Note: most Web sites take between 2-3
months, depending on complexity and a number
of other factors)
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| 11)
What is your budget?
|
| For
initial site development |
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| For
annual site maintenance |
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| For
annual site marketing/ promotion |
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| For
annual site hosting |
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