This form serves as the initial contact with eWeb Productions. After you submit the form, we will:

1. Analyze your business, existing Web site, industry, and competitors, and formulate, if applicable, three different and unique web designs
2. Estimate cost and time for completion of the project
3. Contact you when we have posted a proposal on our Web site so you may evaluate our offer

You are not required to complete every field, but please provide as much information as you can. If necessary, we will contact you for additional information before posting an online proposal. Please allow 72 hours for your proposal to be prepared.

Client Profile
Company/Web site name:
Web site URL:
Contact Name:
Phone:
E-mail:
Industry:	Automobile Business Education Finance Internet Non-profit Organization Personal/Family Real Estate Religion Restaurant Retail Store Sport Transportation Travel Other If other:
Target audience:	(male/female, web developers, government, universities, business professionals, etc.)

Project Characteristics
Number of Pages:	1-5 Pages 6-10 Pages 11-15 Pages 16-20 Pages 20+ Pages
Services:	Web Design Need stock photography Dynamic Content (forms, random images, etc.) Web Development (database, user interaction, login/password, etc.) Web site management (we make future updates) Content management system (you make future updates) Web Hosting	Flash Shopping Cart Forum Chat room Guestbook Poll question
Please describe your Web site goals, and how you envision the user to interact with the Web site:
Description:
Preferred colors:	(groups of 2-3 colors)
Please list the Web sites in which design and/or functionality are similar to what you are envisioning for this project.
Design samples:
Functionality samples:
Competitor Web sites: