Request for Proposal Form
An (
*
) indicates a required field
First Name
*
Last Name
*
Company
*
Address
*
City
*
State
*
Zip
*
Select
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Phone Number
*
Fax Number
Email Address
*
Does your company have a website?
*
Yes
No
What is the URL?
Do you have anyone that maintains your website?
Yes
No
Do you maintain In House or use a Third Party?
In House
Third Party
What third party company do you use?
How often do you update your website?
Is that enough?
Yes
No
What do you update the most?
Select
Content
Design
Photos
Images
Database
How important is a website to the overall business/marketing plan of your organization?
*
Select
1 - Very Important
2 - Important
3 - Neutral
4 - Somewhat Important
5 - Not Important
How important do you feel it is to update a website?
*
Select
1 - Very Important
2 - Important
3 - Neutral
4 - Somewhat Important
5 - Not Important
Who are your competitors?
*
Please provide the URL for one of them.
Who is your target audience?
*
Are you interested in site
Design/Re-Design
?
*
Yes
No
Are you interested in
Hosting
?
*
Yes
No
Are you interested in
Maintenance
?
*
Yes
No
What would you consider a fair budget for a website?
*
Select
$2500 - $5000
$5000 - $7500
$7500 - $10000
$10000+
How did you hear about us?
*