Taylor Web Technologies - Website Request Form

Website Request Form

Any information that you provide will be kept strictly confidential. Please be as thorough as possible.
The more information that you provide, the better we can meet your needs.

Name

Your Company/Organization

(if applicable)

E-mail Address

Telephone Number

How do you prefer
to be contacted?

Telephone E-mail

If by telephone, when
is most convenient?

Current or Desired Web Address

(Example: www.yourdomain.com)

Project Description

New Website
Redesign of Current Website
New Feature for Existing Website

Description

Please use this space to describe your website needs. More information is better.

What websites do you like as examples of what you want for your website?

Target Audience

Please tell us who will use this site.

What do you hope to achieve
with your website?

Goal	Yes	No	Maybe
Increase Site Traffic (if adding new feature/service)
Attract Repeat Customers
Distribute Information to a Broad Audience
Generate Advertising Revenue
Reduce Sales/Support Costs
Easily manage/distribute database information
Other (describe):

Initial development/
upgrade budget

This is only to help us to match your needs with your budget goal. We bid both large and small projects.
$200 - $300
$300 - $500
$500 - $1k
$1k - $5k
$5k - $10k
More than $10k

Monthly Operating Costs

How much do you plan to budget (monthly) for site maintenance, hosting, and database upkeep?
$50 - $100
$100 - $250
$250 - $500
More than $500

Brainstorm

Please enter any additional ideas or comments about your website here.