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| 1. Your Contact Information |
| Email Address: |
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| Company Name: |
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| Contact Name: |
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| Surname: |
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| Title: |
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| Address: |
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| Cellphone: |
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| Office Phone: |
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| 2. Background and goals for site |
| What products/services do you provide?
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| What are your goals for the site? |
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| What are the Short-Term goals for your site? |
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| What are the Long-Term goals for your site? |
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| 3. Current web facilities |
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| If yes, what is the url? |
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| 4. What services are you interested in |
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| 5. Other Services |
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| 6. Competitors websites: |
| Please list a few other websites that you liked and why? |
| http://
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| http://
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| http://
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| What do you like about them?
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| What do you NOT want on your site?
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| What graphics, photos and other art do you have? (ie. Logos)
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| What graphics, photos and other art do you need designed? (ie. Flyers, Posters, Signage, Business Cards, Folders, Letterheads, Comp Slips etc.)
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| 7. Web Site Content & Scope: |
| Will you write the text or will we write it? Content Writing (R300 per A4 page) |
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| Additional Information: |
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| 8. Please list the sections |
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| Please enter any more pages, site outline or further details here.
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| How many pages do you think your website will have?
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| 9. Contact Forms |
| If your site needs any online forms, please describe what they would need to capture from your user: |
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| 10. Dynamic Items |
| If your site needs any automation, databases, search, or e-commerce capabilities, please explain your needs. |
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| 11. Budget |
| All web design companies bill by the hour. With all projects, the more time spent on a project the better it turns out and the more it costs. If you have to meet a specific budget for this project, please specify and explain your needs below: |
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R500-R1,000 |
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R1,000-R2,000 |
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R2,000-R4,000 |
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R4,000-R6,000 |
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R6,000-R9,000+ |
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Other, enter below: |
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| Specific budget amount |
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| 12. Other Information |
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