DW Web Solutions Website Questionnaire

Name:

Company:

E-Mail Address

Street Address

City

State

Zip

Phone Number

Do you have a logo that you would like us to incorporate into the design?

Yes

No

If you do have a logo and you have a digital file, please upload logo file here:

Do you have a domain name (web address such as www.dwwebsolutions.com)?

Yes

No

If yes, what is your domain name?

If no, what address would you like to have
(please give us up to 3 choices in order of preference):

Are there certain colors you would or would not like used in your website (Please provide as many details as possible to ensure your satisfaction with the design!)

Website content and structure

What pages would you like included in your new website (Note: you will be billed for any pages that go over the number allowed in your package at the rate associated with your package)?

"Other" pages (one page per line please):

If you have any websites that you like the feel, look or structure of, please list the addresses below so I can take a look:

http://

Any marketing materials you already have and use are extremely helpful to us. Please upload them here or feel free to e-mail them as attachments to dana_wallert@dwwebsolutions.com

If you have any other questions or comments please write them in the box below. Once we receive this form and your deposit, we will get to work. I will get in touch with you with any additional questions or information I need or schedule a time to speak with you on the phone for more details about your business and the content of your website.

Questions or Comments:

We will begin work on your site as soon as we receive your 50% deposit. Our preferred method of payment is Paypal. If you have not already made your deposit, we will e-mail you a Paypal invoice as soon as we receive your questionnaire.

If you would rather send us a check, please make the check payable to DW Office Solutions and send to:

Dana Wallert
DW Office Solutions
1009 Bluestem Drive
Baldwin City, KS 66006

Thank you!

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