Your Name:
(required)
Business Name:
Email:
(required)
Phone #
Graphic
Design | Please check
all items that apply.
Logo, Letterhead
design
Product sheets /
sell sheets
Business cards
Menus
Flyers / direct mail
Publications
Brochures
Rack cards
Catalogs
Display ad design
Newsletters
Powerpoint presentations
Shirt designs
Signage design
Holiday cards
Billboard design
Corporate reports
Photo restoration / enhancement
Flow charts
Photo manipulation
Instruction manuals / diagrams
Sales materials
Line drawings / 3-D line drawings
Vehicle and boat graphics
Other type here:
Please enter any special comments
about your graphic design related needs including
budget, timeframe, special instructions, etc.
Website
Design | Please check
all items that apply.
Webpage design (1 page)
E-Commerce / Online Store
Website design (up to 10 pages)
HTML, Javascript, PHP Programming
Website design (over 10 pages)
MySQL Database Setup and Programming
Existing website review and consulting
Custom Email Signatures / Auto
Responders
Existing website re-design
Customer Survey Forms
Web Hosting & Email
Flash Animation
Message Boards / Online Forums
Competition Research
Photo Galleries and Slide Shows
Streaming Video/Sound
Other type here:
Please enter any special comments
about your graphic design related needs including
budget, timeframe, special instructions, etc.
Online
Marketing | Please check
all items that apply.
Search Engine Ranking reports
Content development
Search Engine Optimizing (SEO)
Free advertising (links, articles,
forum posts)
Keyword and Keyphrase management
Monthly specials, articles, contests
Sales conversion reporting
Message board and monitoring
and moderating
Click trail reports
Open Live Chat with visitors
at your command
Traffic reports, stats, hits,
in from, leave to, graphs
E-Newsletter publishing and emailing
service
Paid advertising (banners, pay-per-click,
links)
Affiliate programs to generate
sales
Other type here:
Please enter any special comments
about your online marketing needs including budget,
timeframe, special instructions, etc.
Client Survey
| Please check all items
that apply.
What is the mission of your company?
What are your products?
Who is your audience or target market?
Do you have company colors?
Do you already have a logo and branding established?
Do you have a website (If yes, what type of site)?
Do you market your products and website online?
What businesses and associations are you affiliated
with?
What are your business / marketing goals?
Please enter any additional comments
about your overall needs.