The cost to Design a Website can vary depending on the Complexity, Number of pages and the Content of the site. ie Popups, Forms, Graphics, Images and Flash etc.

Therefore, in order or for us to better understand your requirements, avoid any confusion and provide you with a more accurate quote, we kindly request that you take the extra time whilst completing the Form below, making sure you select either Yes or No from the Drop Down boxes.

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Please Note: Fields marked with an (*) are required to be completed.
Your Details
Business Name: *
Contact Name: *
Address:
Suburb:
Postcode:
Home Phone: *
Mobile Phone:
Email Address: *

Work Required
	New Website
	Re-Design Existing Website
	Website URL:
	Other Work:

Website Details
Describe your Business ( ie What  you do? )
Do you have a Budget? If so, how much?
When do require to site to be up and running?		Please Choose 1 - 2 weeks 2 - 3 weeks Longer

Website Content
How many pages will your Website require?	Please Choose Less than 5 5 - 10 10 - 20 20 - 40 40 +
The amount of Text which my pages will contain will be:	Please Choose Light Medium Heavy
Do you require Contact Forms of any kind? ( Please advise )	N/a Yes  No

If yes, then please insert the Name of Form and the Number of Fields Required, in the spaces provided below. - Example Form Names

Form Name:		N/a Less than 5 5 - 10 10 - 15 15 - 20 20 +
Form Name:		N/a Less than 5 5 - 10 10 - 15 15 - 20 20 +
Form Name:		N/a Less than 5 5 - 10 10 - 15 15 - 20 20 +

Is all the content prepared and ready to go?						Yes  No
Do you require any sort of Flash Animation? - eg Intro, Banners etc						Yes  No
	Flash Intro		Flash Banners		Flash Image Scroll
Do you have a Logo?						Yes  No
Do you have it on a Disk?						Yes  No
Do you require Downloadable PDF files?						Yes  No
Do we need to convert them to PD for you?						Yes  No

Website Design
Do you have a preferred Colour Scheme in mind?	Yes  No
Are there any designs in our Portfolio that you like?	Yes  No
If yes, then please insert the names of the Website(s) here.
Have you seen other Websites on the Internet that you like?	Yes  No
( Of course we can't copy them. It just gives us an idea of the concept that appeals to you )
If yes, then please insert the URL of the Website(s) here.

Hosting & Domain Name
Have you registered your Domain Name?	Yes  No
Domain Name:
If NOT, then do you have a name in mind?	Yes  No
Domain Name:
Do you w us to register the Domain Name for you?	Yes  No
Is your Website currently Hosted?	Yes  No
Do they Support FrontPage Server Extensions?	Yes  No
Do you wish to utilise our Hosting Services?	Yes  No

Services Required
	Domain Name Registration
	Website Hosting
	Both Domain Name Registration & Hosting
	Website Design
	Re-Design Existing Website
	Website Management & Maintenance

Survey
How did you find out about us?	Please Choose Google Yahoo Yellow Pages Newspaper Client Website Referral Other

Questions / Comments

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