Please fill in as much information as you can supply us with.

Contact Information

Name

Email Address

Address

State

Company Name

Phone

City

Zip

Your Website

Have you purchased a name for your site?
YES NO

If you have purchased a name, what is the address?

Give us a description of your desired site

What is your deadline for this site to be functional?

Do you need your site to be optimized and submitted for search engines like Google, Yahoo, and MSN?
YES NO

Are you interested in Cascade
Computers developing a Content Management System that will allow you to update the site? (substantial increase in cost)
YES NO

What kind of site do you want

BASIC BROCHURE
E-COMMERCE

If you have not purchased a name, what web address would you like to use and list 2 other choices in case it is not available?

Will you require web hosting?
YES NO

What is your estimated budget?
under $1,000
$1,000-$1,500
$1,500-$2,500
$2,500-$5,000
$5,000-$10,000

How many pages will this site have?

Will your site require its own search engine?
YES NO

What features would you like on your website?
DATABASE
SHOPPING CART
BULLETIN BOARD
CHAT
VIDEO
ANIMATION
   
OTHER  
Please specify:

Preference

 


Your Business


Materials
DIGITAL PICTURES (i.e., from digital camera or scanner)
NON DIGITAL PICTURES
WORDING FOR WEBSITE IN WORD DOCUMENT FORMAT
PREVIOUS WEBSITE
NONE
OTHER




















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