1. Contact Information

Your Name:

Your Business Name (if applicable):

Your Email Address:

Your Phone Number:

2.  Web Site Details- Tell us about your dream site!

How many pages will your web site contain?

List three colors you’d like included in your site:

List three competitor web sites you’d like to leave in the dust:) :

http:// http:// http://

List three web sites you like, and tell us what you like about them:

1.) http:// What you like about it: 2.) http:// What you like about it: 3.) http:// What you like about it:

List up to ten words that best describe your business or service:

3.  Web Site Services- Select the services you’ll need from us to get your dream online:

Web hosting (Includes multiple e-mail accounts)

Domain name registration

Content Management System

Professional site maintenance by PulsePoint Design

Downloadable .PDF documents for your site

Flash banner or Flash page element

Web forms (contact, newsletter sign-up, etc.)

Double opt-in mailing list for HTML or text e-mail campaigns

Photo album

Blog or online diary

Internal search engine

Shopping cart

Pay-pal business account

Amazon.com or Christianbook.com affiliate account

E-commerce solution

Searchable database

Web promotion package (Google ad word campaign, search engine optimization, and submission.)

Other service

4.  Web Site Budget and Timeline

Estimated budget (packages begin at $900):

Desired start date for this project:

Desired site launch date:

How often will you update this site- daily, monthly, several times per year?

5.  Other Information

Please add any additional thoughts, comments, or requests here: