Pre-Planning Website Form Askmepc-Webdesign Please fill out this form to help us with our FREE 30 minute consultation about what you need. Date MM slash DD slash YYYY Name* First Last Email* Phone Home:Phone Cell:Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Name of Company Website I need: Web Hosting Domain Name If you already have a domain name, where did you purchase your domain from? If you already have web hosting, please tell us who you are with. What domain name will you be using for your website? I need a logo designed Yes No-I have a logo I will need my logo turned into a banner or header for the website Who is your target market? Who are you hoping to reach with your site?What is the nature of your business? Briefly describe your products or services.What is the mission or purpose of your website?Who is your target audience?IMPORTANT: Please try to list at least 3 URLs (web addresses) of other websites that you like the look of. These do not have to be sites who’s business is similar to yours. It aids us in determining what your design style is. Please consider layout, colors, navigation, graphics, and typography:You have unlimted space to do this. Just copy and paste the url or web address of the sites you like and dislike and tell us why.I know the colors I want to use. Yes No Colors: If you know the colors you want, please list here. No more than 3 colors is the rule of thumb. I am interested in the following: Selling my products online. Podcasts Media (youtube, videos...) Slideshow Forum/Bulletin Board Secure Client Portal for documents/sharing Search Engine Optimation Services Custom Graphics Social Media Set Up (facebook, twitter, youtube) Membership Website Selling Advertising on my site Custom Coupons Email list set up (such as aweber, icontact) Shopping Cart Set Up (oneshopping cart, etc..) Products Set Up to sell Customized email signature file Other items or projects not mentioned, please list here.Goals for your website.Budget Estimated for Project 1895-3000 3000-5000 5000> If you need a smaller job, or updates and help with your website or online presence, please feel free to tell us what you need. We are very reasonably priced. We offer a discount for all non profits.Please tell us a little about what you need if it is not a new website or WordPress Conversion assignment. We will discuss this in more detail on the phone call.Please tell us a little about what you need if it is not a new website or WordPress Conversion assignment. We will discuss this in more detail on the phone call.Please do not use a Yahoo or Hotmail account if you have anything else.If you use Yahoo or Hotmail for your primary email, please do not use it with me if possible. If you have any other email, use that one. If you must use it, I will use my gmail account when emailing you. I have been so careful for over ten years with my email account and then clients are often hacked with Yahoo and Hotmail. When this happens all your contacts go on spam email lists that are sold over and over to China, Russia, Belguim and you can never get off of them and your email is ruined for life.Our normal terms are half up front for a deposit and the final payment is due once the website is approved by the client and installed and running live. We only bill when the job is done. Also if you need to break your payments into 3 payments, we are flexible, just ask us.Are you ready to order? Yes No Not sure yet Please list the target dates you have in mind for your project. Target Start Date MM slash DD slash YYYY Target Completion Date MM slash DD slash YYYY Any other information you want us to know?How did you hear of us? We have referral bonuses, so please let us know.Thank your for taking the time to fill out our website planning sheet. We look forward to the opportunity to speak with you in more details about your website or projects. You will receive a FREE 30 minute phone consultation about your plans.When is the best time to reach you and what method do your prefer? Email or Phone? We use both. We take phone calls and support our clients using phone and email. Δ