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Name*

First Last

Business name

Phone number*

Fax number

Email address*

What is it that you aim to accomplish with your website?

Share information (i.e. promote my company)
Sell products
Generate traffic in order to sell advertising
Other

Please explain why you selected "other"

Who is/will be your web audience?

Do you already have a website?

Yes
No

What is the URL?

Who hosts your site?

Do you own a domain name?

Yes
No

What is it?

How many hours a week do you spend on the Internet?

Please rank your knowledge of the Internet on a scale of 1 to 10.

Please list the URLs and company names of your competitors.

URL	Company Name

Please list the URLs of sites that you like and include a brief description of why you like them.

URL	Description

What features would you like to include in your site?

(Check all that apply)

Content management tool
Mailing list
Contact/submission form
Database-driven section
Site search function
Password-protected area
Bulletin board
Analytics
Shopping cart

What is your budget for developing a website?*

In order to meet the needs of our existing clients and commitments, we are currently not taking on new projects that have a budget of less than $5,000.

What is your time frame for the site? How soon would you like to launch the site?

Are you interested in having Insight Designs host your website?

Yes
No

How did you hear about Insight Designs?*

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