Contact Information Name E-Mail Phone Company Name Address Type of Project What type of project are you interested in? New Web Site Web Site Redesign Digital Photography Print Advertisment Logo Design Multimedia Presentation Graphic Design Other Web Design Details What is the intended purpose of your web site? Personal Web Site Simple Business Web Site Advanced Business Web Site E-Commerce Solution Custom Solution What is the address of an existing web site? What type of web site do you require? Static (HTML, Static Images) Dynamic (Flash, Shockwave) How many pages do you anticipate on your web site? 1-4 pages 5-9 pages 10-19 pages 20-29 pages 30-39 pages over 40 pages I have no idea Will you provide us with prepared source material? Yes No Have you registered a domain name? Yes No Have you chosen a web hosting provider? Yes No How quickly would you like to launch your new web site? 2 - 4 weeks 4 - 6 weeks 6 - 8 weeks over 8 weeks Digital Photography Details How many products do you wish to shoot? Describe the type of products. What is the intended purpose of digital photos? Web Site Print Advertising Point of Purchase Web and Print Multimedia Other Graphic Design Other Budget What budget do you have planned for your project? less than $200 $200 - $500 $500 - $750 $750 - $1000 $1000 - $1500 $1500 - $2000 greater than $2000 I do not wish to disclose Additional Project Comments Make any additional comments about your project here.

© Walk in the Park Design