| Web Design Services - Sites with Impact! |
Geek On Wheels Guarantees the complete ~privacy~ of our client information!
Please answer the questions to the best of your knowledge,
So we can better serve you in creating a web presence that best represents your needs. |
| .::General Client Information::. |
| Full Name: | * |
| Email Address: | * |
| Company Name: | |
| Store Name (If Different) | |
| Address: | * |
| Address 2 (Apt. Suite #): | |
| City, State, Zipcode: | * |
| Contact Number: | * |
| How Did You Hear About Us?: | |
| .::General Status::. |
| Do you have a site(s) now: | - check if yes |
| If yes please list the url here: | |
| Do you have a domain name: | - check if yes |
| If yes please list it: | |
| Are your text/graphics ready? | - check if yes |
| What is your method of payment | Credit Card Company Check PayPal |
| Do you have a designated budget | - check if yes |
| Then please state it: | |
| .::E-commerce Sites::. |
| Do you already have a merchant account: | - check if yes |
| If Yes who provides your gateway?: | |
| Does your site require a shopping cart?: | - check if yes |
| Do you already have a credit card service?: | - check if yes |
| Have you already secured a hosting company?: | - check if yes |
| If yes please list here: | |
| If you currently have a web site and web hosting do you carry a SSL Certificate? | - check if yes |
| .::Marketing Preferencs::. |
| List three web sites that you see as the biggest competitors to your new web site: |
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List three web sites that you find compelling or personally like.
We're just looking for personal taste |
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Please give a brief description of what it is you like or
find attractive about the sites you listed |
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Do you have in mind a particular graphic theme/ motif or color scheme.
If so please give a brief description. |
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| Please list any pertinent or important information that you feel will help in the development of your site's web presence |
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Please list any questions, comments or concerns you might have.
It is better to ask questions early and be comfortable with your project. |
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| If you feel you are you are done, go ahead and hit the submit button. |
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| We Thank you for submitting your preliminary info. This information will help us to expedite your site's development. |
All Information Is Held In The STRICTEST Confidence
It will never be sold or given to ANYONE outside of Geek On Wheels |
| Thank You!!!! |
