Using our convenient intake form, let’s start figuring out your project. The information on this form will make your project flow more smoothly. Your Name* First Last Your Company NamePlease describe your organization in a sentence or two.*Briefly describe the service or product your company offers and how it's different from your competitors.*Your role in this business?*(like owner, salesperson, marketing director)Your role in this project.*Are you the point person? The initiator? The decision maker? All of the above?Email* Enter Email Confirm Email Phone*Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Current WebsiteDo you currently have a website you'll be revising or replacing?*YesNoSortaIf yes, or sorta, the website's URLThis is the http://www.myurl.com that you use to access your website. What about your old website would you like to change?With whom do you host your current website?If you have one.Will you be using content from your current site?YesNoYour ProjectBriefly describe what this project is about.*What is your budget for this project?*<$1000$1000-$5000$5000-$8000>$8000Please list the main pages for your site* Your competitorsPlease list 4 of your competitors, their website URL, what you like about their site (a few words), and what you don't like about their site (again, a few words). To add a new line, click the + to the right side.Competitor nameCompetitors website URLI like...I don't like... Describe your target market or audience for this website?Who will be its main users? Think about age, gender, income, education, where they live, the kinds of jobs they have, what they do in their spare time and other factors that will influence whether they're interested in your product or service. Feel free to name them and personalize them.What's your timeline for the completed site?Keeping in mind that a site requires content and if the content needs to be created or edited that will exert some control on the timeline.Yesterday (of course, you realize that's not possible)ASAPWithin a month1-2 months3-4 monthsNo hurry.Style, content and functionDo you have a logo?YesNoIf you have ideas about the colors, style and feel of your new website, this is where to describe them.What kind of content will you need?Will you need text, logo, images, graphics, animation, video? Be specific if you'd like. Please note whether it's available already or whether you'll need assistance with it.FunctionalityThis is what you need the site to do. Feature information about your products/services Advertise and/or sell your products/services Reflect your vision and purpose Create a presence for our company on the internet Allow readers to sign up for an email newsletter Feature video and animation Allow readers to comment or to create content Allow readers to communicate with each other Allow readers to download material like ebooks, pdfs or software Include a blog Include a call-to-action page Include a shopping cart Calendar Search functionality Quote form Hosting and MaintenanceDo you need hosting and email?YesNoDo you need site maintenance?This includes software updates, security monitoring, backups, and site availability monitoring.YesNoWhat did we miss?What other information do you think might be helpful?EmailThis field is for validation purposes and should be left unchanged.