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Dedicated Web Hosting

Web Design Questionare Form

Please fill out all the relevant details required and we will attend to your enquiry ASAP
Please note all fields marked with a * are mandatory
Your Name : *
Company Name :
Business Name / Trading Name :
ABN or ACN :
Please fill in which applies to your Business.		 ABN

ACN
Physical Address :
Street : *
City : *
State : *
Post Code : *
  Postal Address :     (If different from above)
Street or P.O.Box:
City :
State :
Post Code : *
Email Address : 1 *
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3
Phone Number with Area Code : 1 *
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3
Mobile Phone Number : 1
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3
FAX Number with Area Code :
Toll Free Phone Number :
SKYPE Address :
Information Regarding Website :
If you presently own a Website please supply the following information, if this is your first Website continue :
Your Domain Name : *
Your Website URL : *
Domain Registrant : *
Please note before proceeding go to our name registar and choose a Domain Name you would like we will complete all registration requirements for you.
Your prefered Domain Name : *
Name to be registered in : Company Name        Personal Name *
Address to be registered at : *
City : *
State : *
Post Code : *
Email to be used for registration : *
Now choose the pages that wish to have within your website by placing a checkbox next to your choices. Please note that the "Home Page or index page " does not exist as it is always created for you.
  About   About Us   Careers   Case Studies   Clients
  Company   Personal Info   Contact   Contact Us   Customers
  Customer List   Company Info   Directions   Documents   Downloads
  Events   Jobs   News   Newsletter   Our Mission
  Partners   Photos   Products   Services   Shop Now
  Site Map   Support   Support/Contact   Testimonials   Other
If other please specify :
Do you have a slogan ?
What payment processors do you accept ?
  Visa   Mastercard   Diners Club   American Express   Moto
  Pay Pal   Authorize Net   Direct Debit   Info Dial   Other
If other please specify :
 
Information regarding your Trading Hours :
Weekday Trading Hours :
Saturday Trading
Sunday Trading :
Information regarding your preferences :
Is there a Website you like ?
If you like more than one please add them.		 1 Type in address.
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Why do you like this Website ?
Please describe why you like the particular website.
Information Regarding colour preferences. Please click on the colour you like.
All the below colours are cosidered Web Safe colours and your choice will give us an indication regarding your preferences. You may choose as many as you like.
Basic Colours.
  Grey   Yellow   Lime   Cyan or Aqua   Blue
  Magenta or Fuchia   White   Money Bookers    
 
Greyscale Websafe Shades.
         
         
    Gainsboro      
 
Red Websafe Shades.
         
         
         
Yellow Websafe Shades.
         
         
         
Green Websafe Shades.
         
         
         
Cyan Websafe Shades.
         
         
         
Blue Websafe Shades.
         
         
         
Magenta Websafe Shades.
         
         
         
Information regarding Font preferences. Please click on the type of font you like.
If you cannot find a font you like let us know your preference and we will create your Website in that font or mix of fonts.
    Most Popular Fonts.
Example Fonts
Your choice of fonts :
Please choose your favourite fonts.		 1 Type in Font Types.
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Special Instructions:
If you have any special instructions please take a moment to supply us with them.
Materials I'm Sending to AreUHosted
Should supplied materials be returned ? Yes        No
    Logo     Letterhead     Business Card     Photos     Artwork
    Brochure     Yellow Page Ad     Other Ads     Forms     Resume
    Catalogue     Product Instruction     Product Information     Newspaper Ads     Other
Other material please specify :
  Do you need our photographer to take photos: Yes        No       Unsure

We also need to know about your business wether you supply a service or products or maybe both:
Products in order of importance :
  1    2    3    4 
  5    6    7    8 
  9   10  11  12
 13  14  15  16
 17  18  19  20
Services in order of importance :
  1    2    3    4 
  5    6    7    8 
  9   10  11  12
 13  14  15  16
 17  18  19  20
If you wish to have yourself or staff mentioned on the site please list them in order of importance :
  Please list the owners names first :
  1    2    3    4 
  5    6    7    8 
  9   10  11  12
Finally please supply some information regarding your business :
How long have you been in Business ? Years Months
Do you have any affiliations ?
With other businesses that you may be affiliated with.
Are you a member of any organisations ?
Either Business organisations or Community organisations.
Has your Business won any awards ?
Either Industry based or directly to individuals involved in the Business.
Does the Business hold degrees or qualifications ?
This could be individuals involved in the Business.
Please supply a short history of your Business ?
Could you supply Testimonials ?
This is a great way to show new customers what your existing customers have to say about your Business.
 
Upon completion of this form we will have enough information to start building your site, one of our staff will be in constant contact with you during the building of the site and all information will be collated using this system. We will send you a form and once the required information is returned it will be added to your site. If at any time you have problems with any of the forms just contact us and we will help you. We understand that we are asking for a lot of information but the more information your website has the better it will be for your business. Always remember we are here to help you so we are always happy to confer with you regarding your site.
If at any time you need help please contact any of the below:
Martin :     03 90185219
Administration & Scripts		 Heidi : 03 90163806
Design & Artwork
Marianne : 03 90187671
Accounts Department		  
Melbourne Office :   03 90185219 Head Office :   03 90185219
Bendigo Office :      03 54474713 Inglewood Office :  03 54383593
   
 
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