Pinched Solutions for your senses!

Name

Title

Company Name

City

State/Province
Country (if outside USA)

E-mail Address

Phone
x

What is the primary function of your company/organization?


Company Size
Small MediumLarge

What are your goals for the site?
Please choose as many that apply.
Sell online products/services
If so , how many?
Marketing tool to gain new customers/clients
Information or knowledge base resource
Customer service or support

Services Required
Design new site
If so, how many pages?
Re-design current site
Promote and market site

Do you need an SSL (Secure Sockets Layer)
connection to make secure transactions?
Yes
No
I do not know

Do you have a registered domain name?
Yes
No
I do not know

What is your current domain name, if you have one?
http://

Do you have a hosting provider?
Yes
No
I do not know

We would like to accept the following forms of payment.
Please choose as many that apply.
Credit cards
Online payment services
Other forms of payment
Billing/Invoicing cycle
Subscriptions payments

What features or services would you like to offer on your site?
Please choose as many that apply.
Ecommerce shopping cart
How many products/services?
Site that utilizes large amounts of content or information
derived from a database
What type of database do you have?
News and/or newsletter
Data collection/manipulation
Site search either embedded or online service
Data, software or other file download
Video/audio streaming
Flash or Quicktime movie, animation or presentation

What promotion services would you like?
Please choose as many that apply.
Search engine optimization
Search engine and directory submittal
Email List Management
Banner Ads

What other marketing vehicles would you be intersted in?

Please list all sites, if any, that match or are similiar in
design to the site you are requesting?


What do you like specifically about the above sites?


What do you specifically not want on your site?


What graphics, photos and other specifications
concerning art do you have?
We provide artwork/graphics
You provide artwork/graphics, we scan or import
You provide final artwork/graphics

What graphics, photos and other art do you need designed?


Other graphics or artwork considerations?

I have text or copy ready to be published?
Yes
No
I do not know

Other text or copy considerations?

What is your design budget?
$500 to $1000
$1000 to $3000
$3000 to $5000
$5000 to $10,000
$10,000 to $20,000
$20,000 to $50,000
Greater than $50,000
Or Specify

What is your marketing budget?
$500 to $1000
$1000 to $3000
$3000 to $5000
$5000 to $10,000
$10,000 to $20,000
$20,000 to $50,000
Greater than $50,000
Or Specify

Do you have a deadline when the site must be completed?
If yes, when?

Questions or other information we may need

I would like to join the newsletter.