Request A Quote

Please take a few minutes to fill in the following form as completely as possible so that we may have a clear understanding of what you are looking for in your future website.

Contact Information
Name
Address
City
State
Zip
Telephone
Email
How Did You Hear About Lighthouse Design Group?
General Information
Do you currently have a website?	Yes No
If yes, what is the domain name of your existing website?
If no, would you like for us to obtain your domain name?	Yes No
Desired Domain Name
Hosting Information
Please Select One:
I already have hosting for my website (current or pre-arranged). I will need to have my website hosted by Lighthouse Design Group.
Please Select One:
I already have an email address and do not wish to change. I am interested in getting an email address with my website hosting (ie myname@mywebsite.com).
Site Content Information
Yes No	Are you able to provide content text for your website?
Yes No	Are you able to provide photographs for your website?
Yes No	Will you need e-commerce solutions for your website? (ie shopping carts, secure server for credit card processing)
Yes No	Are you interested in having dynamic content on your website?
If yes, please select all that apply:
Website done completely in Flash Flash Intro Only Flash graphics and/or banners Original music production
Yes No	Are you interested in having interactive content on your website? (ie messageboards/forums, chatrooms, reservation/contact forms, calendars, news, weather, etc.)
If yes, please select all that apply:
Messageboard/Discussion/Forum Chatroom(s) Reservation Form Email Contact Form Calendar of Events Live News Feeds Weather
Yes No	Will your website require a database?
Yes No	Will your website require special programming? (ie Java, Javascript, DHTML, ASP, etc.)
Yes No	Do you want to be able to maintain and update your website yourself?
Design Information
Yes No	Do you already have graphic images to be used in the design of your website?
Yes No	If no, are you interested in having Lighthouse Design Group create a design for you?
Yes No	Do you already have a company logo?
Yes No	If no, are you interested in having Lighthouse Design Group create a logo for you?
General Website Information
	How many pages do you anticipate for your website? (Please enter total number of pages, including homepage.)
What is the main message your website should convey to your visitor?
What do you want to be the overal "feel" of your website? (Please select one.)
Classic - corporate colors Modern - contemporary colors Elegant - rich colors Fun - bold/bright colors Homestyle - warm/inviting colors Other
Are there any websites that you have seen on the Internet that you would like for us to visit to get a clear picture of what you have in mind for your website? If so, please enter the website addresses below.

Site Marketing Information
Please Select One:
I plan to submit my website to search engines myself. I will need to have Lighthouse Design Group submit my website to search engines.
Yes No	Will your website require any search engine paid-submission programs?
Yes No	Will your website require any additional online marketing services?
Submit this Form
Thank you for taking the time to fill out our request form. Your answers to the questions will allow us to prepare a package price that best suits your needs.
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