1. Company Name:
2. Contact Name:
3.
Street Address:
4.
City:
5.
State:
6. Zip
Code:
7. Phone:
8. Fax:
9. Email:
10.
Is your domain name
currently registered?
11.
If so, please list the
domain name(s) here:
12.
If not, would you require
BizTech to process the registration of your domain?
List possible
Domain name choices:
Click here to
register
your domain name now or skip this step for now and continue to fill in
this form to get a website design estimate.
13.
Would you like us to host
your website?
14.
Describe the function of
your business:
15.
What is the purpose of your
website?
16.
What type of ambience or
"personality" would you like your website to project?
17. Please feel free to use your own adjectives.
18. Do you want to take orders for
products or services from your site?
19. Do you want to process orders
online with full e-commerce features (shopping cart/credit card
processing)?
20. Do you want to process
credit card orders real time or manually?
Choose One
Real Time Processing
Manual Processing
Not Applicable
21. If you want to process
credit card orders real time, please tell us which company processes
your merchant account:
Choose One
AuthorizeNet
CyberCash
None Yet
Dont' Know
22. Do you want to process orders by
email only, (i.e., no shopping cart)? (This
would apply only if you have a very few items).
23. If applicable, what is your
company's primary or premier product/service?
24. If
applicable, approximately how many different
products/services would you like to offer on your site?
25. If
applicable, do your products have different variables? (size, color,
etc.)
26. If
applicable, do you need shipping charges calculated by the shopping
cart?
27. Select as many of the
following elements that you would like to apply to your site:
28.
Do you currently have a
company logo?
29.
If yes, in what format can
you provide us with your logo?
Other:
30.
Do you have certain colors
associated with your company (logo)? If so, please list them here in order
of priority:
31.
How many photos or graphical elements do you estimate that you would
like on your website?
32.
Do you have them in digital format (gif/jpg) or would you require us
to scan in the images and convert to a digital format?
GIF
JPG
OTHER
NEED TO BE SCANNED
ALL OF THE ABOVE
33.
Generally, websites consist
of a home page with several links appearing on that page to different
pages WITHIN the website. Please list topics that you would like to set up
as links from your home page (i.e. Products, Service, Company Info,
Contact Us, etc.).
34.
Do you wish to link to any
other EXTERNAL websites (i.e. manufacturer's, complimentary, resource or
corresponding sites)?
35.
If so, please list them:
36.
What forms, if any, would
you like to have on your site (info request, sign in etc.)?
Do
you need any password protected areas on your website?
37.
How would you describe your
average customer? (Please provide any demographic information you already
have).
38.
Please list the web address
of any competitor's website and/or other sites that your find attractive:
39.
Please provide the 10-25
keywords and phrases to assist in generating meta tags (including
misspellings):
