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Date: February 4, 2012 Company/Organization Name: Company/Organization Description: Contact Name: Address: City: State: Zip: Phone Number: Fax Number: E-mail Address: Contact URL: Website Objectives 1) Type of Website: Informational    E-Commerce    Both    2) Are you seeking a: First Website?    Redesign/Relaunch?    Minor Upgrade/Refresh    3) Estimated size of site: 1-12 pages    13-25 pages    More than 25 pages    4) Will you need hosting services? Yes    No    5) Will you need e-mail services? Yes    No    If so, how many accounts?   6) What date would you like to launch the site? 7) What elements will you be providing for the website? Navigation guide Content Imagery Logo Product Information Other 8) What elements, services or functionality will you need for your website? Navigation guidance    Content    Imagery Logo    Design    Development Shopping Cart/E-Commerce    Site Search Basic Search Engine Optimization    Advanced Search Engine Optimization Simple Email Forms (contact, etc.)    Databased Forms    Members/Board Only/Gated area Audio or Video Clips    Amination/Flash    Site Registration Ongoing Technical Support    Security Certificate    Regular Website Updates 9) Please describe your target audience: 10) How will you measure the success of your site? 11) How will you drive traffic to your site? 12) List URLs of peer or competitive sites: 13) Any additional information?

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