| Company Name (required) |
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| Company Address |
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| Company Website (if applicable) |
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| Primary Contact Person |
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| Secondary Contact Person |
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| Email (required) |
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| Telephone |
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| Mobile |
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| Fax |
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| How do you hear about Akira Graphics and Printing |
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| What work do you need performed |
Create a brand new website
Redesign an existing website |
| Do you have a domain name for this website yet? |
Yes
No |
| If so, what is it? |
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| If not,have you reserved/registered it? |
Yes
No |
| What is your budget? |
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| Desired Launch Date? |
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| What do you like about your current website (if you have one)? |
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| Do you currently have a web hosting plan with another company or would you like to know your pricing options as an ‘Active’ Akira Graphics client? |
We already have hosting setup
Please give me more information |
| What will you be providing us? ie. materials, photos, sketches, outlines, rough drafts, etc. |
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| Please give us a rough outline of your proposed website (if you have one): |
| Or would you like us to propose an outline for you? |
Please purpose an outline |
| Proposed outline: |
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| Purpose of website? (online catalog/sell products, promotional, corporate identity, etc) |
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| Type of Product(s)?: |
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| Approximately how many products? |
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| Approximate number of sections (ie., Main, Products, Company Info, Dealers, Contact Us, Sitemap): |
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| Website Navigation: Would you like your links on TOP or on the SIDE? |
Top
Side
Both |
| Website Technology: What sort of Features would you like to have on your site? |
| (ie. database, administrative controls, contact form, polls, secure socket layer/SSL, search, newsletter signup, email newsletter blasting w/ database, guestbook, banner ad system, etc) |
Database
Administrative Controls
Contact Form
Polls
Secure Socket Layer (SSL)
Search
Newsletter Signup
Email Newsletter w/database
Ecommerce
Banner ad system
Wheel application guide
Other |
| Other |
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| Please list the websites that you’ve come across that best fits what you have in mind. With these websites, please keep in mind the structure of the site as well as the layout. As much as possible, please give a brief description of what you like and don’t like about the sites you’re referring to. |
| *Please include your competitors websites |
| Sites that interest you and your competitors: |
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| How should we base our quote? (you may select more than one for multiple quotes) |
Basic site (more affordable, simple, less features, straight-forward, all the necessities to get your business online and looking good)
Advanced (full of features, detailed site structure, advanced design and technology, detailed tracking, includes limited future web updates, much more to list. This package will give you an impressive online presence for your distributors as well as consumers.) |
| Desired Website LAUNCH Date: |
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| Are you interested in driving traffic to your site by means of search engine optimization, collateral/flyers, ads, etc? |
No, we have our own marketing team
Not at this time
Yes, please give us more information |
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