Dan's Consulting . . . Effective IS and Website Solutions
Copyright © 2000, Dan Bur. All rights reserved.

Please fill out the forms below as much as possible, if you like you can simply fill in your first and last name and phone number, we will get back to you within 2 days.

We look forward to helping you with your web site. Whether it is a business website, personal website E-Commerce site, revise a current site or just space to create your own presence on the web we are ready to help you reach your goals.

Web Site Design Request Form

First Name:  
Last Name:
Company/Organization:
Address Line 1:
Address Line 2:
City:
State:
Zip Code:
Country:
EMail:
Work Phone:
Home Phone:
Cell Phone/ Pager:
Best Time to Call:
Morning Afternoon Evening
Comments:  

So that we can provide you with the information you need, please fill out the information below.

Anticipated Size of Web Site

I am interested in a 1- 3 page web site.

I am interested in a 4 - 11 page site

I am interested in a 12 - 19 page web site.

I am interested in a 20 plus page web site.



Web Site Elements

I have my own text.

The text is available on disk
.

I will need help in developing my text for the web site.

I know what graphics/pictures I want to use.

I have the graphics/pictures I want to use in my web site available on disk.

I will need assistance in acquiring or developing the graphics/pictures I want to use on my site. .


Forms - Dynamic Content Pages - Web Site Tracking Reports

I want
to have a form where visitors can send me information and have it electronically sent to a destination of my choice (ie Access database or EMail).

I want dynamic content pages (ie Calendar of Events, Membership Listing, etc.)

I want Web Site Tracking Reports (ie Browser Summary, Hits a Month, etc.)

Enter Report Names:

Dynamic Content Pages and Web Site Tracking Reports require an Admin Web Site setup. The Admin Web Site allows you, the owner, of the web site to change the content of the dynamic content pages and view the Web Site Tracking Reports.



E-Commerce

I would like to have an ecommerce site.

If you do want an e-commerce site, how many products will you be selling on line?

Less than 10 products

Between 11 and 25 products

26 - 50 products

over 50 products

I want to offer periodic sales promotions.


Comments:


Thank you for taking the time to answer these questions. We look forward to meeting with you and helping you acieve your web site goals.


Hosted and Designed by
Dan's Consulting. Questions or comments send to Dan Bur at Dan's Consulting.