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WEBSITE DESIGN REQUIREMENTS FORM

Please provide all the information about the needs for your website in the form below

I. CLIENT CONTACT INFORMATION

Client Name: *
Email Address: *
Company/Organization: *
Address: *
City: *  
State:
Zip: *
Country: *
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Phone: *
Alternate Phone:
Fax:
Current Domain Name (if any):

II. WEB SITE PLANNING AND DESIGN

1. Service Request: (Please check all that apply)
    New Website Design
   - If this is a new website, will you need TBL Media to register your domain name? Yes No
   or
    Website Re-Design
   - If Re-Design and/or Maintenance and/or Update, please provide your URL: http://
2. Do you have a logo that you would like us to include in your website? Yes No
3. Do you have a company/product slogan? Yes No
   If Yes, please describe 
4. Website design for:
    Personal Use
    Company/Organization
5. What are the goals of your website? (Please check all that apply)
    Establish on-line presence
    Provide information
    Provide customer service
    Other (please describe):
6. The site will be (check ONE only):
    100% HTML
    Somewhat interactive website (1-2 forms)
    Interactive/Dynamic (website served by a database)
7. Technology Preference: (Please check all that apply)
    HTML
    ASP
    PHP
   CFM
    ASP.NET
    MS SQL
    MY SQL
    Flash Introduction
    Site ENTIRELY in Flash
    Other
8. Web Site Contents (text, images, etc.):
    Ready
    To be developed
9. Which materials will you supply to us? (Please check all that apply)
    Copy / text
    Images / graphics
    Audio
    Video / animation
    Layout
    Site map
10. Which materials will you need help designing or creating? (Please check all that apply)
    Copy / text
    Images / graphics
    Audio
    Video / animation
    Layout
    Site map
    Not sure / need help
11. Who is your Internet Service Provider (ISP)?
12. What information will be on your site? (Please check all that apply)
    About Us
    Jobs/Employment/Career
    Products/Services
    Pricing
    Management Team
    Image/Picture Gallery
    Contact Us
    Disclaimer
    Site Map
    Financials Reports
    FAQs
    Other:
    Feedback
13. List your closest competitors, if possible, list the best examples of their websites, or sites that have the design and features you're looking for. Please list the URLs (website addresses).
   a.
   b.
   c.
14. Web Hosting Required?
    Yes
    No
   Please list your current hosting company
15. Number of Email Accounts (POP3) required
16. Font requirements:
Type Size  
Colors Link colors  
Headings size Menu Sub menu
17. Background color requirements, or the background color you'd prefer (such as organization identity color):
   Color  Type 
18. Additional Services:
    Banner Ad Designing
    Photography
    Scanning/Imaging
    Data-Entry
    Copywriting
    Training
19. User Interactivity: Additional components/features integrating in your web site (please check all that apply):
    Shopping Cart System
    Online Payment System
    SSL (Secure Sockets Layer) Certificate
    Searchable web catalogue
    Multiple Domains point to the same site
    Picture / Image Gallery
    Forum
    Banner Exchange
    Chat Window
    Polls and Voting
    Random Quote Display
    Content Management
    Web-based E-mail
    Clock
    Website Statistics
    Calendar
    Banner Ads
    Calculators
    Newsletter
    Classifieds
    Member's-only Access
    Live Counters
    Search Engine Optimization
    Website submission to Search Engines
    Others (please describe): 
20. Email Forwarding:
    Yes
    No
   If Yes, please provide the forwarding E-mail address:
21. Maintenance:
    1 year
    2 years
    Other:
22. Estimated Maintenance:
    Number of pages to be updated
    Number of new pages to be added
23. Will you need training to utilize the website? (website administration training, etc.):
    Yes
    No
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