The following questions will assist us in designing and targeting your site to the appropriate clients/market. If you would like to provide additional comments please scroll to the final entry box.
All information is confidential and will not be used for any other purpose than to accurately define, design and market your business or personal web site.

( If you are accessing this page through AT&T Cable Services or AOL and have difficulty submitting the form - please send an e-mail instead. )
Name:
( required ):
E-mail address
( required ):
Telephone Number:
( including area code )

Which service(s) are you interested in?

Logo design?
Banner Ad design?
Website design?

Commerce website with real time online credit card processing?
Commercet website without real time online credit card processing?
Website redesign

Describe your business:

If someone needed your services, what words would they use to locate your business in a phone book?

Do you own several businesses? If so, please list and describe each business.

Describe your customer base.

Which markets do you intend to target?

Do you have an existing logo?

Yes No
Do you have marketing materials such as brochures, advertisements, etc.? Yes No

What is your vision for your website?

List the URL of your competitor's websites:
Do you offer a product(s) or service(s)?
 Product Service
Will you maintain your own site?
 Yes No
Do you plan to use a shopping cart? (Use if you offer multiple products.)
 Yes No
Are you currently selling or offering a service online?
 Yes No
What is your anticipated project time frame?
Do you have an existing Internet Service Provider?
Yes No

Have you selected a host?

Yes No
URL of Host:
How familiar are you with the Internet?
Beginner Intermediate Advanced

How did you locate Cybernet Services 2000 ?

For those with existing sites.
What is the address of your present site?

Why are you unhappy with your existing site?

What would you like added, removed, expanded upon?

Are you currently under contract with another Web Design Firm?
 Yes No
Additional Comments: