At Clear Cup Design, our customers are the most important part of our Business. Please complete, as best as possible, all of the information on the form below in order for us to understand you custom Web site development needs. The more information you complete, the more accurate the quote. Fields in RED are required. We look forward to hearing from you.  Your Name  E-Mail Address  Telephone Number with Area Code  Best way to contact you E-mail ICQ Telephone AOL Does Your Company currently own a Domain  Name(s)? Yes   No If You checked Yes, Please type the "MAIN" Domain Name below: www. ie. yourcompanyname.com or net, org If you checked No, Type a name you would like. We will check it for you. www.[22 characters Maximum, No spaces].com - .net - .org www. Current Web Ste Address if Any- What level of Internet presence is Your company looking for? On-line brochure to present your products and/or services Informational Site E-Commerce site, number of products: 1-25 26-50 51-100 101+ Membership WebSite (you charge a membership fee for admission) Corporate Have You seen any other WebSites on the net that have the look you would like? (If so list them below to better help us envision what You want) 1. http://  2. http://  Number of pages Rule of thumb - to keep a website fast loading, 6 graphics/images per page with text and buttons Number of photos Will Your site require updating? (newsletters, photos/items to be added or deleted from catalog, freshen up look of   site, etc..) Yes   No If You checked Yes, Please specify type:  How often? Daily Weekly Monthly Quarterly Biannual Yearly Open-24/7, As items are sold or added Will You require Customer feedback email and response forms? Yes   No What does your company hope to achieve with an On-line presence?           You may select more than one.  To start a new business To attract new customers to an existing business To take advantage of the E-commerce boom To improve customer relations To streamline supplier ordering and billing Other (Please specify):  Will you require flash? If yes, what type? Navigation Bar/Menu Intro Page movies other What about Our Other Services- Check as many as you need... Guestbook/Message Forum Yes No Banner Ads/ Buttons  Yes No Monthly Newsletter Yes  No Do you live in the Jacksonville, FL Area?  Yes  No Submital to basic Search Engines Yes No Stats Yes  No On-Site Photos Yes   No Contests/Drawings Yes  No Please Indicate how soon you would like your web site online.  How did you hear about Clear Cup Design? Business Description and Comments Remember, the more info you give us, the more accurate of a quote we can give you. So please fill out the form to the best of your ability.