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Step 1 of 3 33% Contact InformationCompany Name Contact Person Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*FaxEmail* Enter Email Confirm Email How did you hear about iwi?*ServicesWhat Web Services are you Interested in?* Web Site Design & Development Redesign of current site Logo Design Scanning and Image optimization Image and Graphic sourcing Custom design Web Site Maintenance Site Analysis E-commerce Search Engine Placement Technical Marketing Web Site Marketing & Advertising Web Site Hosting Domain Name Registration Database Development Is there a deadline for your project? / If Yes when?* BackgroundDescribe the nature of your business?* List the services that your company provides Describe your target audience (i.e. average age, special interest, income level, education level). Do they have any special needs?*Do you currently have marketing materials that we should incorporate into our design?* How many pages do you anticipate that your Web site will have?* Goals, Purpose, Concept, Focus, Direction, Strategy and MessageWhat is the core purpose of your website? Check all those that apply.. Entertainment Increase corporate, brand, product recognition Increase sales Improve internal communication Gather data Reduce customer service calls Increase prospective customer base Style, Design Message, ThemeWhat image do you want your site to project, what should be "the look and feel"?* Please list some examples of sites that you like.* Please list some competitor's sites and what you like and dislike about them.* Do you already have image / graphic content for your Web site?* Yes No Do you need our assistance scanning or preparing your images?* Yes No Do you have text content ready for your Web site?* Yes No Would you like us to help develop textual content for your site?* Yes No If site is an E-commerce - Are you going to be accepting credit cards? Yes No List the name of your merchant account if you have one. If so do you currently have a merchant account? Yes No List the name of your merchant account if you have one. How many products and/or services do you plan to sell? MaintenanceWould you be interested in having us do updates and maintenance to your site?* Yes No How often would you require updates? Daily Weekly Monthly Quarterly Other Would be interested in assistance from iwi to promote your site and / or register you with search engines?* Yes No Are there parts of your site that will need to change regularly (i.e. products, prices, announcements, etc.)? Do you currently have a Web hosting package? If so, what company currently hosts your site?* Would you like iwi to host your site?* Yes No What email software do you currently use? How many email accounts will you need? Do you currently own your own domain(s)?* Yes No I need help in acquiring and registering one. If you need iwi to obtain a domain, please list your top three choices and we will find out if one of your choices is available. If you already own your own domain(s) please list below as relevant to this project. Would you like access to Web statistics on your site?* Yes No Website CaptchaEmailThis field is for validation purposes and should be left unchanged.