Name:

Company/Organization/Church/Ministry:

Email Address:

Phone:

Existing or Desired Domain Name(s):

Please select one that best defines your situation:

Need a new site
Have a site but need it redesigned
Need other assistance

When do you want your site / updates live:

as soon as possible
1-2 weeks
2-4 weeks
1-3 months
Not Sure / Not Applicable

What is your budget?

less than $249
$250-399
$400-799
$800-1,199
$1,200-1,999
$2,000+

How will you manage your site content / updates?

No updates needed
Need an easy to use editing system / CMS
Want Web-Scapes to manage site

If you want Web-Scapes to manage your site, how often will you request updates?

daily
weekly
monthly
quarterly
2 times a year
1 time per year
Not Sure / Not Applicable

Would you like us to write fresh, original and interesting copy for your website?

Yes
No
Not Sure / Not Applicable

Products & Services of Interest:

Social Media Set-up / Integration
Logo Design
Domain Name Registration
Web Hosting
Online Registration
e-Commerce (shopping cart)
Online Payments / Contributions
Event Management
Membership Management
Email Marketing
Website Traffic Reports
Search Engine Optimization
Google Marketing AdWords Management
Not Sure / Not Applicable

Additional Info / Links to Examples of Sites You Like / Questions (optional):

Please upload any supporting documents / graphics that define your needs:

How did you learn about Web-Scapes?