Excelnet Media
Arizona Website Design
480.874.4379
866.245.8014
Contact Us
Home
Services
Portfolio
Testimonials
Request a Quote
Blog
Contact
Request a Quote
We would love to hear from you! Please fill out this form and we will get in touch with you shortly.
Name
*
First
Last
Phone
*
Email
*
Address
Street Address
Address Line 2
City
State / Province / Region
Zip / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Country
Website
OBJECTIVES
Why do you want to have a new website, or have your current site redesigned?
Please describe your organization in a few sentences.
What are the main objectives of the website?
(Examples include: Establish a web presence, increase marketing and product branding, Increase sales, Generate business leads, Generate requests for information, Support existing advertising, promotional efforts, Offer customer service, Recruit new employees/post job opportunities...)
E-COMMERCE
Will you need a shopping cart or e-commerce?
Yes
No
Please describe product or service for sale?
Please describe product or service, and how many items do you want to sell online?
Are you set up to accept credit cards online?
If so, who is your payment gateway?
How do you currently ship your products?
(Describe shipping methods)
Other Needs:
PROPOSED SITE PLAN
How do you envision the site achieving your company objectives?
Do you have a proposed flow chart?
(List pages needed for website. Standard pages on a website usually consist of: Home, About Our Company, Customer Service Information, Privacy Policy, Products and Services Overview, Contact Information, etc.)
Do you have a site layout in mind (example websites)?
Forms or scripts
(forms, newsletter, tell a friend, bookmark us, forums, chat, surveys/polls, calendar of events, )
Do you need a blog?
Yes
No
I don't know
Other requirements:
MULTI-MEDIA NEEDS
Do you want Flash?
Yes
No
I'm not sure
Please explain Flash requirements
Do you want audio?
Yes
No
I'm not sure
Please explain audio requirements
Do you want videos?
Yes
No
I'm not sure
Please explain video requirements
RESOURCES CURRENTLY AVAILABLE
Does your company have a logo?
Yes
No
No, I would like a quote for a logo
Will you supply all art and copy digitally?
Yes
No
Some
I'm not sure
Photos can be supplied digitally
Yes
No
No, I would like a quote for photograghy
DOMAIN NAME REGISTRATION
Have you purchased a domain name (website address)?
Yes
No
Who did you register your domain name from?
WEBSITE HOSTING
Do you need website hosting?
Yes
Yes, I would like a quote for website hosting
No
Who is your web host?
Type of web server at current host
Linux
Windows
I don't know
SITE MAINTENANCE
Who will maintain your website?
(We can provide on-going maintenance)
Will you need a Content Management System (CMS)?
Yes
No
I'm not sure
Will you or an employee need HTML and web site management training?
Yes
No
I'm not sure
How often do you plan on updating your website?
SITUATIONAL ANALYSIS OF EXISTING WEBSITE
Do you have an existing website?
Yes
No
Objectives of current site:
Current site achievements (detail statistics, etc):
What features of the current site would you like to keep?
What features of the current site don't you like?
Which products or pages are most popular?
Which pages would you like to keep from your current website?
What feedback have you had about the site?
TIME & BUDGET
When do you need your website completed?
What is your budget for the web site development as described above?
$1000 - $2000
$2000 - $3000
$3000 - $4000
$4000 - $5000
$5000 - $6000
$7000 - $8000
$9000 - $10000
$10000+
To reduce spending time and resources of both parties, disclosing this allows us to determine if we can realistically complete your project within your allowed budget.
NOTES/ADDITIONAL INFORMATION
Are you human?