First Name *

Last Name

Your Email *

Phone *

Company / Organization *

Your Title / Position

Current Website URL

Other website(s) URL(IF Multiple Sites)

What are your primary Goals this Website ? *

Ex- inform people of our services "," Attract Potentional Customers "," get people to call us "," Get People to sign up"

What call to actions should be on the site ? *

Ex- (call, email, signup, visit)

What type of functionality would you like to see ? *

Ex- (blog,events, picture galleris, etc)

How many pages do your foresee in the inital development ? (Please describe Them) *

Ex- (4-5 home, about us, contact s, our services)

Do you currently have a domain name and hosting plan in place? *

If so, what company" if not would you like in Taylordonline to host your site?

Will you or one of your staff want to edit pages or manage the site?YesNo

If you'd like to edit, update, or manage the website, what's your technical skill levelI don't know too much about computers and would need a lot of directionI am capable but would need some clear directionI am advanced and can learn very quickly

Please provide any other feedback or Comments that will help us in the creation of a proposal!