VelociHost Design Quote
Please use the form below to send us your design preferences and goals.
Name: *
E-mail: *
Company Name:
Primary Phone Number:
IM Type (for contact purposes):	AIM Google Talk ICQ MSN Other Skype Yahoo
IM User Name(s):
Project/Site Title:
Do you have a website address?
Do you need domain name registration?	Yes No Unsure
Type of website:	Blog Browser Site Business Card Site E-Commerce Forum Informational Large Business Magazine Non-Profit Newsletter Organization Personal Small Business
Category for your Business/Site:	Accounting/Finance Animals & Pets Art & Music Books Cars Communications Construction Corporate Dating & Romance Education Electronics Entertainment Fashion & Beauty Floral Food & Dining Health & Medicine High Tech Holidays Home & Furniture Industrial IT & Software Jewelry Kids and Toys Legal Nature People & Ethnic Portal Real Estate Religion Science Security Shopping Social Issues Sports & Games Stationery Teen & Youth Travel Web Design Web Master Web Hosting Wedding Other
How do you envision your site?	Classy/Elegant Highly Professional Fun/Funky High Tech Colorful Lots of Graphics Clean Cut
Estimated Number of Pages:
Will your website process online payments?	Yes No I am unsure.
Do you currently have a PayPal account?	Yes No I'll be starting a PayPal account in the near-future.
What will you provide to the designer(s)?	Colors Concept E-Commerce Module Existing Database Graphics Layout Logo Records Text/Copy None of the Above
What will the designer(s) be required to provide/create?	Colors Concept Database Commerce Module Graphics Layout Logo Records Text/Copy
What features do you expect your website to have?	Auction Flash/Multimedia Blog Login and Security Catalog and Shopping Cart Membership/Social Networking/Dating Donations Dynamic or Updatable Content Interactive Menu System Feedback Form(s) Message Board(s) Banner Advertising System Realtime Website Tracking SSL Encryption Audio/Video
Please provide 2 or 3 websites to use as graphical reference only as to what you like or have in mind for the look of your website.
What would you like your website to do for you? (Showcase products/services, increase sales, reduce advertising cost, distribute info, provide customer service, attract advertisers, etc.)
Following the project, how much technical assistance is needed?	None Weekly Assistance Bi-weekly Assistance Monthly Assistance Continual Assistance (as needed)
Will your website require updating?	Weekly Biweekly Monthly Semi-annually Annually I'll make updates myself.
Will you be using us for your monthly website hosting?	Yes No Unsure
Web Design:	A Complete Site Update Existing Site Stock Photography Site Optimization E-Commerce Classified Ads Website Logo Forums Custom Graphics
Graphic Design:	Business Cards Brochures Web Graphics Photo Retouching Graphics for Print Logo Design
Additional Details:
What is your estimated launch date?
Project Timeframe:	Immediately 1-2 Weeks 2-4 Weeks 1-6 Months 6 Months - 1 Year