CONTACT INFORMATION

Company Name
  

Your Full Name
 

Email
  

Phone Number
 

Address
 

Preferred Method of Follow-up Contact
Email
Phone

DESCRIBE YOUR PROJECT

Are you looking for a redesign of an existing website or a completely new design?
Redesign of existing site.
New design from the ground up.

Preferred launch date for your website

Is your launch date fixed or flexible?
Fixed Flexible

Please tell us a little bit about your company or organization.

Current website address if you have one.

Do you own your domain name you would like us to register one for you?
I own my own domain name.
I would like you to register my domain name.

Please list 3 domain name choices in order of importance for us to search availability of if you don't own your own domain.

Do you have an existing logo/brand that you wish to use?
Yes
No

If "No" would you like us to design one for you?
Yes
No

Do you need us to host your website?
Yes
No

Do you want to update your own content when the site is finished or do you want us to maintain and update that for you?
I would like to update my own content.
I would like you to update my content.

Do you want to sell products or services on your website?
Yes
No

If "Yes" do you have an existing merchant account for accepting credit card or online payments?
Yes
No

If you want to sell products or services please give us a brief description of them and approx. number of each.

List 3-5 websites you really like and indicate what you like about them, if possible - design, functionality, etc.

Check any boxes that apply to the feel you would like your new website design to convey.
Strict corporate look
Bright loud colours with lots of graphics
Calm monochromatic design with lots of white space
Positive optimistic feel and mood
Minimalist design with focus on functionality
Ultra modern urban look and feel
Grungy look with lots of texture and layers
Dark and brooding
Busy and cluttered with lots of stuff going on
Warm and cozy
Reflection of my personality and character

List 3-5 websites of your competitors if possible.

What are your main objectives with your new website?

Do you have an idea of the pages you would like to have in your new website? eg. About Us - Blog - Store - Contact Us, etc. List as much detail as you can for your site page titles if possible.

Will you be providing all written content for the website?
Yes. We have or will provide all written content for the website.
No. We don't have content and want you to write it based on our suggestions.

Will you be providing all photo content for the website?
Yes. We have or will provide all photo content for the website.
No. We will need you to take all photo content and/or purchase stock photos.

Are you going to be including videos on the website?
Yes
No

If "Yes", is the video in a web ready format such as .mp4, .ogg, etc.?
Yes. Our video is properly formatted and ready to upload.
No. We need you to properly format our video.

What is your project budget?
$1,000 - $3,000 $3,000 - $5,000 $5,000 - $10,000 $10,000 - $15,000 >$15,000

Additional comments or special requests.

By submitting this form I authorize Highfive Media to prepare and submit a quote based on the information provided. I understand that the quote may be revised prior to project commencement based on information gathered through follow-up contacts. All information provided is accurate to the best of my knowledge.

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