WEBSITE CONSULTATION FORM

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

PROJECT INFORMATION

Business Name: * 🛈

What is the purpose of this project: *

What is your target market or audience? *

Please briefly describe your business, what services you offer, how and where you operate. * 🛈

Describe how you currently advertise and attract new customers to this business: * 🛈

Do you currently have a website for this business?

Yes

No

If yes, what is the URL:

Who is the host?

What is the budget for the new website? *

If URL has yet been purchased, please list up to three URL's that you would consider using for your site:

+-

Do you have a logo, branding guidelines, fonts, color schemes already established for this business? *

Yes

No

Not Yet

If yes, to the answer above... We ask that all verbiage and desired content, such as logos (vector format is required), text, graphics (300 dpi is ideal), color schemes, branding guidelines, etc., be provided by you in a digital format. Please list what you currently have available:

Website Type:

Static / basic informational

E-Commerce (online shopping)

Unsure

Design Type:

How many pages do you estimate will be needed? *

Functions, features and/or services required of us:

Do you wish to include any links or feeds from social networking sites? 🛈

Yes

No

Unsure

Do you wish us to set up any social networking pages for you? 🛈

Yes

No

Unsure

Do you wish to include share/like buttons for the popular social media pages on each page of your website? 🛈

Yes

No

Unsure

Please list some ideas that you would like to incorporate into your website:

Are there any websites that you particularly like? Maybe list your competitors and their websites...

What will your involvement be in designing the site: *

Very

Partially

Surf City Consulting

Please detail anything that you specifically DO NOT want to have on your website: * 🛈

Will the website require regular maintenance?

Yes

No

Unsure

Who will be performing the ongoing maintenance?

Client

Other

Surf City Consulting

What type of updates, maintenance and or additions do you think there might be:

TIMING OF PROJECT

How soon would you like to get started on the project? *

What is the specific target date for the website to go-live? *

Client Signature:

clear

Today's Date: +

Surf City Consulting Staff Signature:

clear

Today's Date: +

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