Name of Individual or Company*
Address Line 1*
Address Line 2*
Email Address*
Existing Web Site
Primary Contact Phone Number*
Brief Description of Business*
What are the business objectives for the next 12 to 24 months*
What are your specific design requirements*
Project Budget*
10 to 100
101 to 200
201 to 400
401 to 800
801 to 1200
1201 to 1800
1801 to 2500+
Who is your intended audience*
What message or concept do you desire to convey to your audience*
Briefly describe your project and its core objectives*
What color scheme do you desire for your project*
Briefly describe the services you need*
Please give five words to describe the desired end result*
Describe why the design project will be useful to its intended audience*
If needed for a product or service who are your main competitors
If design needed for product or service how do you intend to deliver your product or service to your audience
Who will the designer report to on a day to day basis*
Will there be fixed project management or progress meetings*
Time Frame*
Budget Contact Person*
Creative work Contact Person*
Production Contact Person*
Final approval Contact Person*
Describe your policy on intellectual property policy rights (i.e. Could we use an image of your finished site in our slideshow, or would this be an intellectual property issue?)*
Describe your position on copyright rights (i.e. Would using an image of your finished site in our slideshow be a copyright issue?)*
If you desire a website, do you need hosting
Please sign your name in this text box*