Montana Web Site Design
affordable web site design
professional web site creation

Provisions Web Design Application Form

Please fill out the following questionaire and click "Submit" at the bottom of the form.

First Name:
Last Name:
Business Name (if applicable):
Email Address:
Best time to call?
Street Address:
Postal Code:
Have you already purchased a domain name for your site?
What would you say best describes your purpose for having a web site designed?
Do you have any examples of what you want your finished product to resemble (similar sites, logos, advertisements, etc)?
Please list your competitors web addresses, if any. What do you like/dislike about these examples? How do you wish to distinguish yourself from your competitors?
Where applicable, please list any spacific web technologies you wish to implement into your web site design, (streaming audio/video, flash animation, etc.)
How many separate pages do you wish to have included in your site, (index, information, products, contact, order, etc.)? Approx value if "more":
Will you be able to provide copy (text) and images (photos/graphics) in a digital format, or will we have to convert your information to digital format?
Do you have any other comments, concerns or special requests concerning your web site or our design services?

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