Please take a few moments to fill in the following form to the best of your ability so that we can get a clear understanding of what you are looking for in your website.

Name

Company

Address

City

State

Zip Code

Telephone

Email Address

Do you have an existing website?

Yes  No

If yes, please list the domain name

If no, please list the desired domain name

Will you need us to purchase the desired domain name?

Yes  No

Do you require hosting services for your website?

Yes  No

Do you require email address(es) for your website?

Yes  No

If yes, please list the number of email addresses needed

Will you be able to supply text for your website?

Yes  No

If no, would you be interested in our website content writing services?

Yes  No

If necessary, will you be able to provide us with company photos?
(ie: headshots for bios, photos of office building or interior)

Yes  No

If no, would you be interested in our photography services?

Yes  No

Do you already have graphic images to be used in the website?

Yes  No

If yes, will you be able to supply those graphics to us via CD?

Yes  No

Do you already have a company logo to be used in the website?

Yes  No

If no, are you interested in having 77inc create a logo for you?

Yes  No

How many pages do you anticipate for your website?

1-5 5-10 10-20 20+

If more than 20 pages, please give an estimate of page total

Have you seen any websites on the Internet that have inspired any ideas for your website design or layout?

Yes  No

If yes, please list the websites below and give a brief description of what you like about the site (ie: color scheme, particular graphics, page layout, etc)

Will you require e-commerce on your site? (ie: credit card processing)

Yes No

Would you like to be able to maintain and update the site content in-house?

Yes No Unsure

Will your site require forms or services other than e-commerce that will require a secure server?

Yes No Unsure

Do you have any interest in animation or interactive content on your website?

Yes No Unsure

If yes, please check all of the following that apply

Full Flash Website
Flash Graphics
Flash Intro
Flash Presentation
Virtual/Interactive Tour(s)
Interactive Game or Tool
Other 

Are you interested in any other dynamic content on your website?

Message Board/Forum
Chatroom
Forms (reservations, loans)
Calendar
Calculator (mortgage, interest)
Live News, Weather, Sports
Other 

Will your website require a database?

Yes No Unsure

If yes, please briefly describe content to be databased and how it is to be displayed

Estimated Start Date

Estimated End Date

One last question...how did you find us?

Thank you for taking the time to fill out this form. All of the information gathered will be used to create a proposal that is unique to your company's needs. The proposal will be written and sent out to the above named contact within 2 business days of receipt.

If you have any final thoughts or other expectations that you would like to relay to us before submitting this form, please do so in the space provided below.