Please fill out the FREE web site quotes form below, providing us with
as much detail as possible. Once we receive your request,
we will prepare a price quotation and we will contact you
within 24 hours.
1) Does your company currently own a Domain Name(s)?
Yes No
If you checked Yes, please provide your Domain Name below:
www.
ie. yourcompany.com
If you checked No, please type enter your preferred names below, we will check their availability for you. (22 characters maximum recommended without spaces)
www.
www.
www.
2) Do you already have a Hosting provider?
A company that provides storage for your web
site's pages and domain name. (www.yourcompany.com)
Yes No
If you checked No, would you like GenesMedia to be your hosting
provider at our Special Rates for our Clients. (see http://www.genesmedia.com/hosting
for details)
Yes No
3) What level of Internet presence is your company looking for?
On-line presence to show your products and/or services
Corporate web site
Informational web site
Nonprofit presence
E-commerce web site
Flash web site design
Corporate web site re-design
Estimated number of pages needed:
4) Who are your major competitors on the Internet?
(Please list them below to better help you)
1. http://
2. http://
3. http://
5) Do you have the text ready for your web site?
Yes No
If Yes, is it in electronic format? (Word, QuarkXPress, PageMaker, etc.)
Yes No
6) Do you have any graphics, photos
or logo to go on your web site?
Yes No
If Yes, what format are they in:
JPEG/JPG/GIF/TIFF
Hard Copy (needs scanning)
A combination of both
Other formats:
Estimated number of images needed:
7) Is there any additional features
you'd like to have?
Please specify feature(s):
Guestbook
Feedback Form
Counter/Site Statistics
Recommend Site
Animated Graphics
Database or Catalog
8) Do you want us to make updates
to your site?
Yes No
If Yes, how often?
Daily
Weekly
Monthly
Quarterly
Bi-annual
Yearly
9) What is the purpose of your web
site?
For personal use
To start a new business
To reach potential customers
To make available product information and price lists
To improve customer relations
Other (Please specify):
10) If you have any other questions,
information or anything else that we haven't mentioned,
please type it in below:
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