Web Building

WebSite Designs Initial Request Form

First Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Fax Number

Email Address

Thank you for visiting WebSite Designs Company here on www.MoniyTree.com. To help us maintain a high quality of service, and to better assist you please provide us with some basic information by filling in the information below.

Please choose a product or service I may design for you.

Do you already have a domain name www . yourName . com to host your web site?

yes

no

Other

Please write your full domain name in the block.
(example: www . this is where your web site is or is to be hosted . com )

Please write your full company name in the block.

Please describe the business or service you are looking to market on the Internet through the World Wide Web.

What web site(s) have you seen on the Internet that closely resembles the web site you would like to have. Please write the web address(s) below.

What size business or service do you have?

Large - Been in business 4-5 years or more

Medium - Been in business 2-4 years

Small - Just starting out, in 1-2 years

Other

what type of web presence are you looking to create for your business?

What type of budget are you working with to create your web site?

What type of budget are you working with for ordering your custom marketing/gift items?

We will need picture files, service or company information to fill the content of your web site. How will you submit your information?

How often will you need updates to your web site?

Do you plan to sell products on your web site?

yes

no

What color would you like as the basic theme for your web site?

In order to give you the best possible, and even more value for your money we use free third party internet sites as we design, build, and modify your web site. Example of some of the sites are "PayPal.com, PictureTrail.com" and the site used to develop this form, "FormSite.com." If you want more value please indicate your choice below.

Yes please!

No thanks

In order to save you money and even give you more value for your money we use your "FAVORITE LINKS ARE" to trade ads with other WSDI client's. This is a One-For-One free advertisement service... If you want this extra value please indicate your choice below.

Yes please!

No thanks

Were there any features or functionalities you felt were missing, or should be added to your web site?

How likely are you to visit us again or to refer our services?

Comments or Suggestions

After submitting this questionnaire you will receive a FREE phone consultation to further address time frames and your special website or you marketing items/gifts needs. Prior to starting any design work or any actual appointment we require you to send in a deposit through the PayPal submit button on this website. Details are listed in the "Book Appointment's" section of this Site, thank you in advance.

Sincerily,

James E. Riddick, Jr.
WSD, Co.

Indicates Response Required

A Website	Premium Business Cards	Hats
Folders	Ink Pens	Key Chains
Tot Bags	Note Pads	Note Books
Mouse Pads	Return Lables	Business Calenders
Business Holiday Cards	Business Identity Package	T-Shirt
Car Door Magnets	Other

$275.00 - $375.00	$400.00 - $550.00
$600.00 - $850.00	$900.00 - $1,000.00
Other

$25.00 - $75.00	$75.00 - $180.00	$180.00 - $275.00
$275.00 - $375.00	$400.00 - $550.00	$600.00 - $850.00
$900.00 - $1,000.00	Other