Please fill out this form to give us an idea of your website needs. It is a lengthy form, but the more information you give, the more accurate the quote and the easier it is to design the exact website you want.

First Name Last Name Company Name Company Address Suite City State --Select State-- Alaska Alabama Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zipcode Phone Email What is the mission or purpose of your business or organization? Do you have a tagline? If so, what is it? What is the purpose of your website? What do you intend to accomplish with it? What are the objectives of developing/redesigning your website? --Select Objective-- What areas of service are you interested in from US Logics? --Select Service-- Who is your target audience or community? (Age, gender, interests, locality) Who is your competition? When people come to your site, do they want to: (check as many as apply) Please indicate which of the following are true of your audience or the people you hope to reach through your website: (check all that apply) Brochure Catalog Regularly Updated Information Ordering Fast Loading Detailed Information Account Login The visual metaphors, graphic design and color scheme of your website will communicate volumes to the visitor about you and your business. What image or feel do you want to project? (check all that apply) Traditional Contemporary Conservative Cutting Edge Formal Casual Serious Friendly Corporate Personal Expensive Affordable Professional Creative LowCost Exciting Elite Industry Leader Other Image What Style do you want to communicate? (check all that apply) Serene Spiritual Powerful Cool Technical Funky Conservative Simple Artistic Hip Classic Elegant Funky Ethnic Natural/Organic High Tech Frivolous Fun Flashy Muted Soft Playful Down to Earth Mellow Comforting/Caring Romantic Sensual Authoritative Delicate Energetic Historical Festive Fanciful Other Style Please specify what color combinations you would like for your site. Please list a few web sites that have an image or style that you like, and why. Please list a few web sites that have an image or style that you do not like, and why. List one or two sample sites with a similar structure and layout for your site. Please list some of your competitor's websites, if you know of any. Let us know what you like and don't like about some of these sites. Please select any of the following features desired: (check all that apply) About Us Contact Info Personnel Bios Testimonials FAQs Service/Product Descriptions Event Calendar Classifieds Guestbook Chat Room Opinion Poll Shopping Cart Links Photo Gallery Email Capture and Admin Content Management Mailing List (announcement only) Mailing List Discussion Group Online Message board or Forum Contact, Subscription, Survey or Feedback Forms Password protection for certain pages Site Search Engine eCards Audio Video Streaming File Uploading Membership Quotes Other Features Home Page Content: What elements would you like on this page? Some possibilities: Links to other pages, logo, introductory/marketing paragraph, brief description of products/services, photographs or graphic elements, What's New section, Copyright Info, Email link to webmaster, Phone Number. Page 2 Content: Please spell out everything you might want to include on this page. (One possibility would be an About Us page. It might include: a brief history mentioning success stories and accomplishments, bios or descriptions of the team and what each person brings, something about your customers or the kind of companies you work with, photo of office or building, staff photos either group shot or individual portraits, goals for the future/new products, etc.) Page 3 Content: Please describe everything you might want to include on this page. (Perhaps this is a Portfolio or Gallery page. Do you want individual thumbnails of each image or would you prefer a collage of your images?) (Perhaps this is your Products page. What support does each product or category need: estimate form, more information PDF, FAQ, demo, order form?) Page 4 Content: Please describe everything you might want to include on this page. (Many sites need a Contact Us page. What of the following should be included: E-mail directory of all key people, business addresses and phone numbers, map/directions to office?) Page 5 Content: Please describe everything you might want to include on this page. (It may be a good idea to have a Response Form page. Response forms could include fields for collecting the following information:Name, title, company, e-mail, address, city, state, province, zip, country, product interest, add to mailing list, how did you find us, send more info, call for estimate, comments. Other forms you may want to include: Estimate/Quote form, Employment Opportunity form, Demo formto receive a password to try out a demo.) Site Expansion: Most sites continue to grow, adding new pages and links. As much as possible we want to allow room for this growth to happen physically within the structure of the site's layout and design. For instance, your site may have three buttons initially and then after one year need another five buttons. What navigation buttons do you want on all pages? Some possibilities include: Home, About Us, Services/Products, Contact Us, Links, What's New, Order Form, Demo, Press Reviews, Investor Info. What navigation buttons do you want on all pages? What, if any, additional buttons/pages do you foresee being added later? How will the logo or graphics be provided? (check all that apply) Use the logo/custom graphics of our present site We will provide the logo/custom graphics on a disk or electronic transfer Develop a logo or custom graphics for our site Other (Please Describe) If you have a logo or custom graphics, in what format can you provide us with your logo? .gif .jpg .png .tif .psd .ai .pdf Other (Please Describe) E-commerce Do you want to enable shopping cart capability to the website? Yes No If Yes, how many products and/or images will be included? (estimated) How will your website handle payment processing? (check all that apply) Traditional Processing (Checks, Money Order, etc.) Manual Credit Card Processing (Processed by the merchant) Real-Time Credit Card Processing (Automatically processed on checkout) Other (Please Describe) Do you already have a merchant account for manual credit card processing? Yes No Company Name When would you like your website to be launched?   Have you registered a domain name? Yes No If you have, what is your domain name? Will you be hosting with US Logics? Yes No If you are not hosting your site with US Logics, what is the URL of the hosting company? What server technology is your website hosted on? Windows Linux Unix Solaris Not Sure Is your website currently connected to a database? (If yes, please choose) SQL Server MySQL Microsoft Access Oracle Other (Please describe) Will your website need to connect to a database? Yes No If Yes, how will the database be provided? Use our existing database Create a new database Other (Please describe) Do you plan to maintain and update your own website? Yes No What is your budget for this project?