YOUR WEBSITE REQUIREMENTS
[ number of pages ]
How many pages on your site will be mainly text?
How many pages on your site will be mainly photos?
How many pages on your site will be mainly Flash?
[ technical set up ]
Do you require hosting?	Yes No   [ ? ]
Do you require a .co.uk domain name?	Yes No   [ ? ]
Do you require a .com domain name?	Yes No   [ ? ]
How many email accounts would you like?
Would you like to sell products online?	Yes No   [ ? ]
Would you like the facility to capture data online?	Yes No   [ ? ]
YOUR ADDITIONAL REQUIREMENTS
[ maintenance contract ]
How frequently would you like to update the site?	[ please select ] Daily Monthly Weekly Quarterly Annually Ad-hoc
[ website add-ons ]
Would you like a text only version of your site?	Yes No   [ ? ]
Would you like a Mobile/PDA version of your site?	Yes No   [ ? ]
[ sms ]
Would you like to a send SMS online?	Yes  No   [ ? ]
Would you like to run an SMS marketing campaign?	Yes  No   [ ? ]
Would you be interested in reverse billing?	Yes  No   [ ? ]
[ stationary ]
Would you like to promote your site with some new business cards?	Yes  No
	If Yes, please enter quantity [ qty ] 500 1000
Would you like to promote your site with some new compliments slips?	Yes  No
	If Yes, please enter quantity [ qty ] 500 1000
Would you like to promote your site with some new letterheads?	Yes  No
	If Yes, please enter quantity [ qty ] 500 1000
YOUR DETAILS
Name*
Company/Organisation*
Email*
Telephone*
Comments
Feedback preference*	Please email me
	Please telephone me
[ * all fields required ]