This form is intended to provide us with the most important information
regarding your new website. It simply lets us "get an idea". We understand there
may be many other items that are not mentioned here, and we can certainly
discuss those items upon consultation. If this is the first time you have viewed the form,
please take a look at each question (or print it out). Some questions may
require information that you haven't considered before, and may want to think
about. Such as: Do I need a Mission Statement for my company, and if so, what
would it be? We will be in contact with you for
consultation regarding your design requirements only (not a sales call). All
information below will remain private to Still Waters Web Development only. No
payment is required until after your registration and consultation.
Please provide the following contact information for the individual or
business purchasing the website:
What is the Title you would like to appear on your Home page? Most likely your business name.
Do you want a Welcome note on your Home page? If so, please provide it below.
Do you want a Mission Statement or Motto on your Home page? If so, provide it below.
Would you like to have a Company description on your Home page? If so, provide it below.
Please provide the following contact information for your Home page. This is the information site visitors will use to contact you.
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail
Would you like to provide Directions to your business? If so, provide them below.
You may choose where you want your Feedback results to go. Choose one of the following options:
Send my Feedback Results to my web package mailbox.
Send my Feedback Results to the mailbox I enter below.
E-mail address for Feedback Results.
Please provide us with your product or service information below (up to 6).
Include Name, Description, Benefits, and Pricing.
Describe Product/Service #1.
Describe Product/Service #2.
Describe Product/Service #3.
Describe Product/Service #4.
Describe Product/Service #5.
Describe Product/Service #6.
Describe what you would like to have on your Freestyle page. For example: News, Links, Resources, Articles, Commentary, etc.
We'll discuss further details during consultation.
Please enter an administration UserName. Used to access your database.
Please enter an administration Password. Used to access your database.
Will you be requiring Domain Name Registration services?
Yes
No
Will you be requiring Search Engine Submission services?
After you have completed this form simply press the Submit button below once.
Other information may include items such as photos, logos, and items for your
Freestyle page. All other information may be sent to us at
webdetails@massagebiz.net, just
make sure to include your name in the subject line. After we
review your information we will contact you. Thank You.
MassageBiz.Net
