what is the purpose of your site? (check all that apply)
  establish an online presence
  provide information
  provide customer service
  shopping cart

what type of site design services are you looking for?
  new site
  upgrade
  maintenance
  other (describe below)

what will you be providing to me? (check all that apply)
  copy/text
  images/graphics
  site map / layout
  nothing will be provided

how many pages do you need created?
  1 page web presence
  2-7
  8-10
  11 or more

who will maintain site / do your updates?
  your company
  another outside provider
  not sure

when would you like to start?
  two weeks
  one month
  two months