INFORMATION REQUEST FORM
Select the items that apply, and then let us know how to contact you.

CLIENT SPECIFICS
*Full Name:
Business/Company Name
Address
City, State
Phone
*Email address:
PROJECT SPECIFICS
*How can we assist you?	Design new website Re-design current website Small updates to current website Graphic Design/Identity Branding Other
*What best describes the type of site you need?	Business/Corporate Personal/Portfolio Non-Profit Organization Event Planning/Promotion Other
*What is most important concerning this project?	Easy to navigate through site Look and Feel (Aesthetics & overall appearance) Animation & Flash E-commerce functionality Ability to update & maintain myself Specific features
*How soon does this project need to be completed?	In less than 2 weeks In 2-4 weeks In 4-8 weeks More than 8 weeks away
*What is the budget range anticipated for this project?:	Select Range: $300 - $500 $500 - $1000 $1000 - $1500 $1500 - $2000 Over $2000
*Who referred you to March 4orth Design?	Endorsed by business Online ad Search engine Family, friend or co-worker March 4orth Team Member Other
Comments:
DESIGN SPECIFICS
*WHAT DO YOU WANT AS YOUR DOMAIN NAME?	e.g www.mywebsite.com
*CHOOSE 3 COLORS FOR YOUR SITE?
*# OF PAGES (NAVIGATION)	Please Select 0 - 5 6 - 12 13 or More
*NAME AND BRIEF DESCRIPTION OF EACH PAGE:
*ADD IMAGE GALLERY?	YES NO
*ADD MULTIMEDIA? (AUDIO/VIDEO)	YES NO
WOULD YOU LIKE TO INTEGRATE AN ONLINE COMMUNITY?	GUESTBOOK DISCUSSION FORUM
DO YOU INTEND TO HAVE eCOMMERCE AT STARTUP?	YES NO
LIST UP TO 3 WEBSITES YOU LIKE:
	**Please be sure to double-check all responses for accuracy