JAS Website Design - Quote Form

First Name
Last Name
Email Address:
Phone Number 1
Phone Number 2
Domain Name (If Applicable)
Website Topic
Today's Date
Approximately when would you like your site completed?
Approximately how many pages will you need?
Would you be interested in using flash for your menu bars?	Yes No Tell Me More
What are you looking to gain from your website?
List a few of your online competitors.
What do you like about your competitor's websites?
What don't you like about your competitor's websites?
List a few general websites you like.
Why do you like those websites?
List a few general websites that you don't like.
Why don't you like those websites?
Is there a specific color scheme you would like for your website?
Are there any restrictions on logo usage?
Who is your target audience?
Is there any more information you would like to tell us about your website?
On our website, you may login and view the status of your project. What would you like your username to be?
Password?
How did you hear about us?
Can you certify that all information is above is correct?	Yes
By checking the box below, I understand that a JASWD representative will contact me about my website within 72 hours.	Yes
Please type your initials in the box below. This is your way of "signing" this.
Is there a specific color scheme you would like for your website?
Are there any restrictions on logo usage?
Who is your target audience?
Is there any more information you would like to tell us about your website?
On our website, you may login and view the status of your project. What would you like your username to be?
Password?
How did you hear about us?
Can you certify that all information is above is correct?	Yes
By checking the box below, I understand that a JASWD representative will contact me about my website within 72 hours.	Yes