*Your Name:
Business Name:
*Email Address:
Phone:
*Do you currently have a website:
Select One Yes No
If so, what's the address:
*Do you have a logo:
Select One Yes No
If so, is your logo optimized for the web:
Select One Yes No Not Sure
What is the core purpose of your site:
Select One Promote Business Sell Online Both
Roughly how many pages would you need:
Select One 1-4 5-8 9-12 13-16 17-20 Over 20 Pages
How often would your site require updates:
Select One Daily Weekly Monthly Quarterly Yearly Rarely
Would your site require a gallery of images:
Select One Yes No
If so roughly how many images:
Select One 1-10 11-20 21-30 31-40 Over 40
Online shopping cart to sell products/services:
Yes, please include in my quote!
Ability to update key areas yourself:
Yes, please include in my quote!
Live chat interface for providing customer service:
Yes, please include in my quote!
Online form submission (like this one):
Yes, please include in my quote!
Detailed visitor tracking & traffic statistics:
Yes, please include in my quote!
*Where are your target visitors located:
Select One Locally Regionally Nationally Worldwide
Search engine optimization & submission:
Yes, please include in my quote!
Color business cards designed to match site:
Yes, please include in my quote!
If known, please list any competitor's websites:
Any sites that you like that you'd like us to see:
Additional info about you or your business:
*Where did you hear about CNY Smart Sites:
How do you prefer we contact you:
Select One Email Phone No Preference
