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Web Design & Development Request for Information
Get started today on your new web site.
Please complete the form below as thoroughly as possible. After completing these preliminary requirements someone will contact you within 2 business days to discuss your plans for a new web site.
We look forward to speaking with you!
Name
Title
Company Name
Type of Company
Telephone
Email
1. Tell us about your business
i.e. The nature of your business, products/services you offer and your current target market.
2. What type of Web site design services are you looking for at this time?
Please Make a Selection
Complete re-design of an existing Web site
Design of a new Web site
Maintenance or upgrade to an existing site
Other (Please Specify)
Other:
3. What do you want your website to do? (Check all that apply)
Sell products/services online
Establish an online presence / Provide Information
Have interactive features (flash, forms)
Other (Please Specify)
4. Do you have existing promotional text or advertising copy that can be used for the web site (Example:
an existing site, pamphlets, brochures), or does most of the text for this site need to be written?
Please Make a Selection
We have a lot of existing material.
We have a couple of pieces.
We have no existing materials.
Please specify existing material:
5. Please select pages or features you would like to have on your website.
Home
Our Products
Staff Profiles
Special Offers
Photo Gallery
Event Calendar
About Us
Our Services
F.A.Q.
Links Page
Online Coupons
Map/Location
Clients/Partners
News/Announcements
Testimonials
Articles / Blog
Other
(Describe in the comment section below)
Registration, Quote or Order Form
A web form that allows you to collect detailed information from visitors. The collected information can be delivered by email or stored in a database. Uses include: registration forms; feedback forms; quote requests; etc.
Document Upload / Download
Manage a collection of documents that website visitors can view and download.
Private Member Area / Restricted Access
This feature allows you to have a password protected section of the website where only certain people can access. This might be used to post members only news.
Mailing List Management
Allow your visitors to easily subscribe and unsubscribe from a mailing list.
6. Have you seen any websites that have the desired look or similar features for your new website?
(Please list and tell us what features you like).
7. Do you currently have a website address for your new website?
Please Make a Selection
I have a domain registered.
I have not yet registered a web site address.
Please enter your Domain Name below:
8. Will you need hosting services?
Please Make a Selection
Yes
No
9. Will you need email accounts setup?
Please Make a Selection
Yes
No
If yes, how many accounts?
Please Make a Selection
1-5
6-10
11-15
16+
Additional Comments:
Note: Reeves Information Technology is not responsible for images and text used on a site created for a client. It is the responsibility for clients to provide material for their site. The client is also responsible for gaining approval to use content or images from other resources. All text and images should be checked by client before site is up.
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All Rights Reserved.
Reeves Information Technology
316 Hadley Rd.
Greenville, Pa 16125
Phone: 1.724.589.5450
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