Name
Business Name
Phone
Fax
Address
City
State
Please Choose An Option
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Washington DC
West Virginia
Wisconsin
Wyoming
Zip
Your Email Address
Existing Email Site URL
How Did You Find Us
Please Choose An Option
Yahoo
Google
MSN
Alta Vista
Friend
Television
Radio
Print Ad
Other Website
Determining Your Goals and Vision
Please provide as much information as possible to ensure an accurate proposal.
Website Use
Please Choose An Option
Business
Personal
If redesign of an existing site, what changes would you like to see:
Product, information or service(s) being marketed:
What is the image you desire to project (i.e. prestigious, fun, businesslike, elegant, techie, streamlined):
Purpose of the web site?
Identify your target audience?
Impression you would like to convey to your clients?
Are you interested in online sales (shopping cart)?
Please Select
Yes
No
Layout and Design Specifics
Please check all pages that will be included in your web site
Home Page
About the Company
News
Products
Order Form
Photo Gallery
Feedback Form
Newsletter
Survey Poll
Quiz
Contact Us
Link Resources
Other Pages
Total Number of Pages
Please Choose
1-5 Pages
6-10 Pages
11-20 Pages
21-40 Pages
Over 40 Pages
Navigational Labels: Please list the titles for your navigation.
Addresses of other web sites that you may want to model after
Website Address
Website Name
Website Address
Website Address Website Address
Website Address
Flash Animation
2nd Form (20 fields)
Thumb Nail Gallery
Popup Windows
Drop Downs
Other(s)
Will you be needing any photos / images* to be scanned?
Please Choose
1-5 Pages
6-10 Pages
11-20 Pages
21-40 Pages
If yes, please list the quantity and describe below.
Do you have Graphics?
Graphic Format
Logo
I have a Logo in Digital Format
I have a Logo that needs to be scanned
Need Custom Logo
Colors
General colors you would like on your site. OR specify Hexadecimal value (if known) or PMS (if known)
Background Preferences
Please Choose
Border
Pattern
Solid
Texture
Other
Navigation
Please Choose
Cascading Menu
Roll-Over Buttons
Static
Textual
Have Content Copy
Need Content Copy*
* How many pages of content need to be developed?
Web Site Promotion - Domain & Hosting Registration
Search Engine Optimization. Choose all that apply:
Need search engine optimization
Need 1 time submission to search engines and directories(no search engine optimization)
Need 1 time submission to search engines and directories WITH
Marketing your site:
Banner / link exchange (custom banner graphic - placement may generate fee from link site)
Directory listings appropriate to the business or subject your site includes
Domain name:
domain name is registered (indicate below)
Will Register Domain
Need Assistance In Registering Domain
*If assistance is needed, what are your domain name choices?
I have a hosting provider for my site(Permissions to FTP access for NBIMarketing
will need to be arranged by you)
I need assistance in choosing a hosting provider*
Web Site Maintenance
Please check the services you would like ACA Web Consulting to provide for your web site maintenance:
Site Updates
Website Maintenance
Please Select
Website Updates
Regular Website rank check in search engines and directories
Ongoing search engine optimization
Regular resubmission to search engines
Maintenance Schedule
Please Select
Monthly Basis
Weekly Basis
As Needed
Budget
Desired Completion Date
Other Questions or Comments
