Web Request/Order Form

1. General

• Please give a name for your project:
  
  

• Please describe your project.
  
  

2. Sections

• List up to 6 major sections that you would like to have in your site:
  

• Examples:
  1. About 2. Services 3. Contact Us

3. Site Format

• COLOR:
  Please Specify the color combinations you like or are considering.
  

• List one or two sites with a "look and feel" that you want to emulate for your site?
  1.http:// 2.http://

• FEATURES: Please list any special features that you would like your website to provide your visitors.
  
  

4. Content

• TEXT: Which of the following best describes the availability of text content for your site?
  Use the content of our present site.
  We will provide you with the content in electronic format.
  We have brochures and other literature which you can use to develop the content with our guidelines.
  

• Other-Mention here:
  

• GRAPHICS: Do you have any graphics/logos/pictures that you would like us to use?
  Yes      No       Dont Know/Can't Say

5. Technical

• Please help us understand the purpose of your web site: (you may choose more than one)
  Commercial Online Brochure Educational
  Online portfolio    Online Catalog
  Community Forum   Non-Profit     Informational
  Other

• Briefly describe the objective(s) of your web site:
  
• 
  How often do you anticipate needing to update your site?
  

6. Tell us about yourself

• Have you developed a website before?
  Yes   No

• OTHER DETAILS
  Your Name*
  
  Designation
  
  Address
  
  Company Name*
  
  Company Address
  
  Phone number*
  
  Fax
  
  E-mail address*
  
  Describe your business and the number of years in existence
  
  Present URL(if any)
  

7. Help us serve you better

• Specify desired date for completion