*First Name: *Last Name:

Title: Company:

*Address: Address Cont.:

*City: *State: *Zip:

*Phone: Fax:

*Email Address:

Type of Project:

Target Launch Date:

Maintenance:

I want EMC2 to make updates to my website at an hourly maintenance fee.
I want EMC2 to build an administration area so I can make my own updates (content management system).

Purpose of This Website (Check All That Apply)

To offer services for our company
To offer information about our company or communicate with existing customers/clients
To sell products online (e-commerce)
To develop & market our web site for company growth
To have prospective clients contact us
To create brand recognition

Domain Name:

Do you currently have a domain name (ex. www.yourdomain.com)? Yes
No

Current marketing statistics

What form of marketing are you currently doing?

Approx. monthly expenditure

Approx. monthly leads from marketing efforts

Approx. monthly customers from marketing efforts

Approx. monthly revenue from marketing efforts

Who is your competition?

Company Website 1:

Company Website 2:

Company Website 3:

Website Cost and Style

(Please read website cost article)

Website cost can vary as much as car cost. It depends on what type, style and features you want and need. What type of car would you compare your ideal website to? Ford Focus - I want a professional web presence and just need to get my content online. I don't need and bells and whistles.
SUV - I need a little more functionality and versatility.
BMW 7 Series- It needs to be a little more flashy, sophistication and have lots of features and options. I need automation.
Ferrari - It needs to impress everyone and I want it all. Image and performance is everything. I know it is going to cost more and I don't care.

Target Audience

Choose the audience you wish to target: Mainly Local
Mainly National
Existing Clients

Target Demographic (check all that apply) Under 21
21 - 34
34 - 49
50 - 64
65+

If possible, explain more about your desired user base (i.e. give us the best-case scenario for your target audience):

Are they computer savvy? Yes No