First Name : *

Last Name :   *

Title : *

Company Name : *

E-Mail : *

Phone : *

Best Time to Call : *

Your Web Site :

Existing URL :

Description of desired site:

Estimated budget:

Time frame requirements:

Size of site (in pages)?

Who will be responsible for maintaining the site (updating wording, fixing broken links)?

Gambling Free Templates can create a Content Management System that allows you to update the site without having to worry about HTML and FTP. We also offer a maintenance package if you prefer we take care of the updates. Would you be interested in either of these options?

Content Management System:

Maintenance Package:

Will you require web hosting?

No Yes

Basic brochure site:

E-Commerce:

Community:

Other

Please specify:

Logo:

Pictures in digital format (i.e., from digital camera or scanner):

Non-digitized pictures:

Site copy:

Other:

Please specify:

Which (if any) of the above materials are still needed? Will Smart Goat be responsible for creating these items, or will someone else be providing them? If someone else is providing the materials, when will they be ready?

Database:

Shopping Cart:

Calendar:

Surveys

Bulletin Board:

Guest book:

Chat:

Video:

Multimedia (Flash, etc.):

Contact Form:

Mailing Lists:

Other

Please specify:

Name three sites you like (preferably at least one you like the look of, and at least one that is in your industry). What do you like about these?

Name three sites you don't like. What don't you like about these?

Desired "look and feel" of the site :  

Your Business: