Preferred Contact Method:
Email
Phone
No Preference
Name:
Address:
City, State, ZIP Code
Email Address:
Phone #:
Area of Interest:
(Check all that apply)
New Website Design
Update Existing Website
Continuing Monthly
Maintenance w/Design or Redesign
Email Newsletter/Promotional Brochure/Flyer
Company Name:
Purpose of Website:
Target Audience:
Type of Business:
Years in Business:
Company Logo:
Have a Logo
Need a Logo/Redesign
Existing Promotional Material:
(Check all that apply)
Newsletter/Brochure/Pamphlet/Flyer
Artwork
Audio Ad
Video Ad
Photos
Forms for Clients to view/print
E-Commerce:
No
Yes
Not Sure
Do you wish to sell services/goods from your site?
If so, how many items?
Website Ideas:
If you desire a redesign, please explain what you do
NOT
like about your current site and what you wish to change:
Websites that you would like to use as a guide for your site:
Website Layout:
Give a brief overview of the pages you wish to include in the website:
(Ex: Home Page, Company Profile, Products,
Order Form, Customer Service, Contact Us)
Total # of Pages needed:
Not Sure
1 - 2 Pages
3 - 5 Pages
6 - 10 Pages
11 - 20 Pages
Over 20 Pages
Website Maintenance:
OSU Web Cat will maintain site
Client will maintain site
Not Sure
Frequency of Maintenance Needed
Not Needed
Not Sure
Daily
Weekly
Monthly
Less than Monthly
Domain Name Registration needed?
Yes
No
Not Sure
Yes
No
Not Sure
If needed, do you want us to register one for you?
Desired Domain Name:
If an existing site, # years registered?
Web hosting needed?
Yes
No
Not Sure
Timeline for Website Completion:
1 to 2 Weeks
3 to 4 Weeks
4 to 8 Weeks
Over 8 Weeks
Budget:
Not Sure
Under $500
$500 - $1,000
$1,000 - $2,000
Over $2,000
How did you hear about us?
Additional Features desired:
(Check all that apply)
Files for download
Forms/Catalogs for view/print
Guestbook
Message Board
Password Protected Area
Shopping Cart
Other -- Please explain:
Additional Comments: