To initiate discussions on your project or receive a quote, please submit this form:
Name: Email: Phone:
Is this project a new website or a redesign of an existing website? New Redesign If you require a redesign, what is the URL of your current website? http:// If you require a new website, have you registered a domain name? Yes No If no, please list your desired domain names (e.g. www.domain.com): What will be the purpose of your website? (check all that apply) Personal Corporate Share information Generate leads from online forms Publish documents Sell products or services Provide customer support Entertain Other: Who is your target audience? Which features will you require on your website? (check all that apply) Forms: Contact form Membership form Order form Other: Audio/Video Blog Database Downloadable documents (e.g. PDF, Word, etc.) Event calendar Newsletter Photo gallery Shopping cart: Number of products in inventory: Site search Additional features: Do you have a logo for your website? Yes No, but I am interested in having one designed Do you have a colour scheme for your website? Yes: No, the Web Designer may choose the colour scheme What will be the theme of your website (e.g. bold, contemporary, entertaining, gothic, high tech, photographic, professional, soft, trendy, etc.): Who will handle the maintenance of your website? Updates will be done inhouse I will require training to do updates I am interested in a maintenance agreement with Web Jewels Website Design Questions or comments: