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General Information:
Name:
eMail Address:
Phone Number:
Please contact me via email
Please contact me via phone
Best time to call

Project Information:
Type of Site:
Business
Non-Profit
Personal
Please Explain

New or Redesign of a Site:

What are the main goals of the Web Site: (check all that apply)
Sell products or services by accepting online payments
Just display products, services, or portfolios on the site
Provide information about your business
Allow customers to contact you
Contact customers through a mailing list or newsletter
Primarily an information related site
Other

What Services & Features are you interested in: (check all that apply)
eCommerce/Shopping Cart/Accept Payments online.
Contact Form
Blog/Guestbook so visitors can leave messages
Ongoing maintenance of the web site by WDbD
CMS - Client Editable Site
Forms
Location Map / Driving Directions
Web Statistics

eCommerce Options: (If not interested in eCommerce, skip this section)
1 Product
2 - 10 Products
11 - 100 Products
Over 100 Products

Display Pictures of each Product:
Yes
No

Do these Products Change Often?
Yes
No

How will you accept payments?
Checks by Mail
Accept Credit Cards via PayPal System
Accept Credit Cards via another online system
Accept Credit Cards off-line
Other

Do you currently have a merchant account setup?
Yes
No

Other Services you may be in need of or interested in:
Take digital pictures of products, staff, etc.
Picture or Image Scanning 
Marketing

Please briefly describe:
What will your site contain/sell/display?
What products and services do you sell?
Do you have an idea of how your site should look?
How did you hear about of find Web Design by Diana?