First Name *

Last Name *

Email Subject

Company Name

Phone Number (xxx-xxx-xxxx) *

Email Address *

Do you currently have a website?

If yes, what is the URL?

If not, how soon would you like to have a website?

Would you like Phasix Design Studios to host your website?

Do you currently own a domain name for your website?

What is the approximate budget for this project?

Describe your company/individual

What is your company/individual slogan?

What is your company/individual color scheme?

Do you have a logo for your company/individual?

If NO, would you like Phasix Design to design your company logo for you?

Describe the information you have in digital format that you would like included in the site. (logo, company graphics, text, pictures of products, etc.)

Have you created the text you want to be present on your website?

Are there some websites that you particularly like (within your business environment)? Name them below and describe why.

Total number of pages (links) requested (Home Page will count as a page):

Would you like a contact form to capture potential client and visitor information?

What will the nature of the maintenance/updates/new content additions be?

What are your ideas for your site?

Who is your target audience?

Additional Information (if applicable)

How did you hear about us?