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Company Name		Which industry category/s best applies to your company or product? (please check all appropriate) Accommodations Biotechnology Education/Training Entertainment Finance Games and Gaming Healthcare Holiday & Travel Internet Leisure Parks and Attractions Technology Products Hardware Software Peripherals Telecom Transportation Utilities Other: Years in Business: Revenue: Target audience: Describe any specifics about your target audience: How do you rate your service/products: Poor Fair Good Excellent What are your future goals for your business: Marketing vehicles your company implemented in the last year: Annual Report Corporate Capabilities Collateral Direct Marketing New Corporate Brand New Product Brand/s Packaging Print Advertising Product Capabilities Collateral Trade Show Graphics Web site Representation Other: What worked and what didn't work? Marketing vehicles you are interested in developing over the next year: Annual Report Corporate Capabilities Collateral Direct Marketing New Corporate Brand New Product Brand/s Packaging Print Advertising Product Capabilities Collateral Trade Show Graphics Web Site Representation Other:
Tag line
Elevator speech
What makes your business stand out from the competition?
What is the competition doing that is different than your business?
What message are you currently giving your customers?
What issues or key points do you want to address?
Message you want to give your customers?
Adjectives that best describe whatthe image you want for your business? i.e. Bold, professional, classy, sporty, old-fashioned, classical, fancy, prestigious etc.
Do you have specific company colors Yes No
Color preferences See our color chart
Competitors web addresses
What websites do you like? Reguarding: clarity, navigation, and look.
Web site dislikes
Current Web Site Needs	New Web Site Redesign Old Site Web Maintenance/Updates Other:
How often will you need your web site updated?
Web areas of interest	Flash Introduction Flash Web Site HTML Web Site (standard) E-Commerce Back Office Control Center Search Engine Optimization Internet Marketing MySQL Database Secure Socket Layer (SSL) Customized Programming Other:
Do you currently have a domain name:	Yes, Not Active/Parked Yes, with Active Web Site No URL (s):
What type of service are you interested in:	Self-serve Head-ache Free Service
Please provide the appropriate contact information below:
*Name:		Title:
Company:		Address:
*Tel:		City/State:
Fax:		Zip/Post Code:
*e-mail:		Comments/Requests/ Specific Needs:
Web site
Preferred method of contact