How did you find out about our website? *
If you were referred to this website by an affiliate representative, what is their full name and I.D. No.??
How soon do you anticipate seeking help to enhance your existing business, or to start establishing a successful new web presence Online? *	JanFebMar AprMayJun JulAugSep OctNovDec 12345678910111213141516171819202122232425262728293031
How long has your company, and/or organization(s) been in business or established?
Are you a new or established home based business, mlm business, a small brick & mortar business, established large company, a corporation, or a community organization? *
What is the name of your company, and/ or organizations? *
What is your official mailing and/or business street address, suite number, city, state, and zip code? *
What is your full name? *
What is your current title, and/or position you hold with the company, and/or organizations? *
What is best telephone number to call in order to follow up with you upon request? *
What is the best time to call you to schedule an appointment, or to further discuss your business needs? *
What is the best contact email available to contact you in the future to provide additional information upon your request? *
Specifically what date would best to follow up either by telephone, or contact by email? *	JanFebMar AprMayJun JulAugSep OctNovDec 12345678910111213141516171819202122232425262728293031
Do you currently have an established Online website hosting presence on the Internet?	Yes No
If so, what is the current URL website address of your existing website(s)? (example: www.yourdomain.com)
List your top three choices if you want a new domain name if you currently don't already have one.
If you already have an established Online web presence, do you currently have trackings solutions available to provide and monitoring traffic reports and visitor information to help you monitor your website?	Yes No
What Online payment solutions do you already use with your existing website?
Do you need to establish an Online ecommerce solution for your business to effectively help sell products or services Online?	Yes No
Do you currently have an advertising budget established for your business or organization? *	Yes No
Approximately how much is your advertising budget that is designated to be spent during the next (12) twelve months? *
Do you need help in trying to increase Online traffic and sales for your existing business or organization, and/or a new business start up?	Yes No
Who is are primary targeted audiences you are trying to reach?
Where is your primary targeted audience located?
What do you want to accomplish with your existing, or even a new website on the Internet?
Would you need us to help with your preliminary website design, set up, and development?	Yes No
Would you also need to consider contract with us to handle your website weekly, monthly, quarterly, ongoing maintenance services?	Yes No
Do you currently have professional images, and/or camera - ready artwork available?	Yes No
What format are your images in, and are they basically quality images that you seriously want on your website?
Give us a brief description of what your company is all about? *
Briefly describe your primary products and/or services your company or organization offers to your targeted markets. *