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Client Information:

First Name:*

Last Name:*

E-mail:*

Phone Number:*

Company Name:

Company Phone #:

Website Goals:

Main Goal:

Marketing Goal:
Want search engine traffic
No search engine traffic

Colors:

Primary Colors:

Secondary Colors:

Pages:

Total # of Pages:

Page Names:

Structural Layout:

Layout:
Centered (example)
Left Adjusted (example)

Navigation Type:
Standard (example)
Drop Downs (example)

Navigation Position:
On the Top (example)
On the Side (example)

Forms:

Type of Form:

Number of Fields?:

E-Commerce:

# of Products:

Product Categories:

Product Options:

PayPal or Merchant Acct.:

Multimedia:

Flash:
Yes
No

Video:
Yes
No

Graphics:

Logos:
Have Already
Need Logo

Graphics:
Have Already
Need Graphics

Example Websites:

Current Website URL:

Example Website:

What you like about it:

Example Website:

What you like about it:

Content Copy:

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