After Completing this form we will contact you to meet and discuss your companies philosophy, Internet marketing goals and options. This meeting will assist our helping you present your business the way you want.

Company Name:
City:
State/Province:
Country if outside USA:
Your Name:
E-mail (required):
Phone (required):

What design and marketing services do you want?
    Design new site. Number of pages
    Re-design current site
    Promote and market site
 
Domain Registration and Hosting
Current Domain Name (URL):
Do you need a domain name registered?
     Yes      No
 
Do you want hosting set up for you?
     Yes      No
 

Purpose of your site:
    Sell products/services online. Approximate #
    Marketing tool to get new customers/clients
    Information resource for current customers
    Provide customer service
           What type of service?
           
  
Do you want to be able to accept credit cards?
    Yes      No

 
What e-commerce services do you want?
     Shopping Cart for approx. (#) products/services
     Site that uses information from our database.
           What type of database do you have?
           
     Opt-in Email newsletter or ezine
     Form for surfers to enter information for data gathering
     Site that Internet users can search internally
     Internet users can download software or other files
 
What type of business is your company?

 
What other sites do you like that are similar to the type of design you want? (please include URL's)
What do you like about them? What do you NOT want on your site?

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

 
Will you write the text/content or will we write it?
    I write it
    You write it
 
Other information:

 
What promotion services would you like?
     Optimize pages for good indexing by Search engines
     Submit site to engines and directories
     Improve link popularity
     Recommend paid submission and Pay-per-click programs
 
What other marketing services would you like?

 
What is your design budget US dollar?
    $500 to $1000
    $1000 to $3000
    $3000 to $5000
    $5000 to $10,000
    Or fill in budget USD $:   

 
What is your marketing budget?
    $500 to $1000
    $1000 to $3000
    $3000 to $5000
    $5000 to $10,000
     Or fill in budget $:   

 
Do you have a deadline when the site must be completed?
    If yes, when:
 
Questions or other information we need.
          Bringing designers and businesses together.

How did you find out about us?
This information is appreciated.
       From a search engine or directory.
       From another site.
       From e-mail.
       From a friend.
   Please give specific site or source:
   
   Keywords you used at engine to find us:
   
 
Thank you

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Bluegrass IT, LLC

859-221-5140