interactive REMIX | A Unique Blend of Strategy, Design, and Technology :.

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CHANGING THE WORLD... ONE WEB SITE AT A TIME

Tell Us About Your Company

Are you ready to take the next step? Now that you've learned a little bit about our company and had the chance to view some of our work, please tell us a little about your organization and the services you are interested in.

Completing this quick web development survey will give us a general idea of your web development needs and help us to prepare a preliminary proposal that outlines our services, related costs, and a proposed timeline.

Any information that you submit using this survey is considered confidential and will be used for planning purposes only. We will not share your information with any third party individuals or organizations.

*Items in red are required

General Information

Company Name:			Office Phone:
First Name:			Mobile:
Last Name:			Home Phone:
Title:			Other Phone:
Department:			Fax:
Address:			Email:
City:			Other Email:
State:
Postal Code:
Country:

Project Information

Do you currently have a web site?

If so, what is the current URL for that site?

Do you have a specific budget range in mind for this project? If so, how much?

What is your intended launch date for the new site?

Provide the URLs of at least three (3) web sites that you find compelling.

Type of web site:
Domain registration:
Project type:
Estimated pages of content:
Web hosting option
Graphic design option:
Flash design option:

Special Features & Add-ons
(Please click on the checkbox beside each feature that you will need for your web development project. Not all available features are listed here.)

	Advertising Management (A system that allows you to add, display, and mange your advertisements.)			Integrated Google Search
	Chat Script			Contact/Feedback Form
	Visitor Counter			Date and Time (Display the current date and time on each page of your website.)
	E-Commerce			Discussion Board or Forum
	E-Groupware (Integrate a multi-user email, calendar, and communications suite into your website)			FAQ
	Error Handling (Replace the ugly error pages (e.g. "404 File Not Found", etc) with pages that match your site.)			File Manipulation
	Automated Photo Gallery and Manipulation			Online Organizer & Calendar
	Mailing List Manager			Polls and Voting
	Content Management System			Guestbook
	Site Recommendation			User Authentication and Management
	E-Learning / Online Classroom

Additional Notes and Details

How did you hear about Interactive Remix?