NETstat Associates
Web Site Design Request Form

The information you submit below is used exclusively for the purpose of supplying you with a quote on your project. It will remain absolutely private and it is not contractually binding. Skip any fields that you don't understand or that don't apply.

Thank you for your interest in NETstat Associates

How It Works

This form is designed to provide you with an estimate of what developing your website with NETstat Associates will cost. Please take a few moments to read over the information we are asking you to provide: you will need to consider some of the technical details (approx, number of pages, type of graphics, etc.) before completing this form. (You can print it out and mail to NETstat Associates, 12-B Sunset Way, #124 Henderson, NV 89014 (702) 435-9971 or FAX to (702) 434-5002.

Once you submit the form, the information you enter will be sent to the design team at NETstat Associates, and within 48 hours (M-F) you will receive, via e-mail, a detailed estimate based on the form you submitted.

This information will be processed immediately and will be used to contact you. Please insure that all information is accurate and as complete as possible. This information will not be released to anyone outside our office.

This information will help us determine what type of design and maintenance is required for your website. This information is not binding as a statement of purpose, but indicates what type of structure your website will require.
Your Name:                E-Mail:
Company Name:         Phone:  
Address:                     Fax:     
Address2:
City:    State**:   Zip:

!!!!! If you are not sure how to proceed,!!!!!
STOP HERE,
E-Mail us - We will be glad to help.

Site Set Up
Requested Web Site Name:

 My Time Frame is:
I'd like the following work done:
New Site     Site Clean Up     Site Redesign     Host Only     Move Site
Would you like a custom Domain Name: e.g. (yourcompany.com) Yes No

If yes, list 3 possible names:

Your approximate budget for this project?
Will your web site reside on one of our servers?
Yes No
Purpose and Audience
What is the intended purpose of your website :
 Who is your intended audience?

Content And Layout
To determine what to put on your site, use any written materials, such as mission statements or descriptions of your business functions from your business plan, brochures, flyers, posters, etc.
Do you have the copy (wording) for your site organized and written?
Yes No		 Would you like Web Design assistance in structuring and laying out your site?
Yes No
Is your promotional material on diskette?
Yes No 		Does your material contain:
Video Clips Interactivity Sound Clips
Estimated number of total pages in website:  
Estimated number of internal links in website: 		How many 8.5x11 printed pages does your material consist of?
Now's the time to take out your thinking cap. Please give a brief outline of how you think you would like your site arranged. (e.g., Home page - links to 3 other pages)
  page 1 link - About Us
    link from page 1 to board of directors
  Page 2 link - What's New
    link from page 2 to news
      link from page 2 to people
    etc.
Outline:
General Description:
Select the words that best complete this sentence:
"I want to ________ my visitors."

teach educate enlighten inform help assist reach out to calm soothe gladden enliven please astound amaze surprise startle other:
Visual Appearance:
Select all words that describe the look of the site:

glossy slick casual soft inviting hi-tech cold warm hard academic humorous serious

Writing Style:
Select all words that describe the tone of the writing:
friendly informal formal serious academic
Background Color or Texture
Some textured backgrounds may inhibit the readability of your site if the background is dark and the text color is dark or if the background is white and you choose a light text color. Remember to take this into consideration if providing/selecting a background texture.

If you desire different background colors or textures on other pages (not necessarily a good design idea), please indicate each choice with page number from list above.

Preferred background color:
OR Preferred background texture
Artwork and graphic images are key parts of the multimedia environment found on the World Wide Web, and NETstat Associates makes a strong effort to create a balance between multimedia components and text. Whether using few graphics for buttons, bullets, and headers, or many graphics for products, marketing uses, or illustrations, it is important that we understand your intentions for use of artwork on your website.
Company Logo as banner graphic? Yes No
Should it be: standard or animated
Give a Description of how you would like the Banner to Look along with its contents.
How many images will you be placing on your site?
 Will your images require any additional design work? Yes No
Will you need any design work for backgrounds, logos, buttons, etc?
Yes No Undecided		 Do you have camera-ready artwork of your existing hardcopy graphics?
Yes No Undecided
If you do have existing artwork to put on the pages, do you have graphic images on disk, or would they need to be scanned from hardcopy or slides?
Beyond static graphics and text, you can choose to incorporate animations, sounds effects, background music, video clips, and more. While these components enhance a website's appearance, they require extra time and design work in the website design process. If you intend to incorporate any of these components, please indicate so below.
Special components you intend to use:
For some types of websites, maintenance is an essential part of keeping the website up-to-date, fresh-looking, and an accurate representation of your company/product/service. Please indicate below any maintenance estimated.
How often will your website need to be updated?
We can do anything from maintain a multi-field relational database to automate mailing lists and product information distribution, all via the web browser. Please let us know what your needs are in this respect.
Will you require the development of a database or another data storage method?
Yes
No
Undecided		 Do you plan to utilize forms (such as this one) or automatic document-by-email requests?
Yes
No
Undecided
Are there any special requirements involving the use of special programs to perform functions beyond standard website forms (e.g. calculations, sorting, automatic responses, listbots, etc)?
Yes No Undecided
Are you interested in using CGI scripts (e.g. to display the current time, track visitors to your site, etc)? Yes No Undecided
Would you like a Webpage counter? yes no Guest Book? yes no Java Script Ticker Tape Banner yes no
If you selected "YES" to the Java Ticker Tape Banner, list up to 4 sayings along with the individual animation type beside each saying: Java Script Saying #1:

Java Script Saying #2:

Java Script Saying #3:

Java Script Saying #4:
What types of Icons would you like to appear on your Homepage?
Standard Icons or Animated Icons
List any preferred types of icons or we can recommend icons for the subjects:
Would you Like Links to Other Systems on Your Homepage?
Yes
No
List the different Types of links you would like. Such as FAQ's Search, Software, Etc.:
Number of image maps (clickable images): Number of Survey forms:
Number of questions:      
Number of Bulletin Boards: Number of Animations:
Secure server required:
Yes No		 Do you need marketing research?
YES NO
Do you need Site registration (Advertisement on popular search engines)? Yes No Are you a Non-profit organization?
YES NO
Web storage space (# of megabytes): (Leave blank if you do not know.)

Standard company ID & Contact Info near bottom of page

E-mail response link to e-mail address:

Size of normal text type: Internal navigation by:
Jump Links (text) or

Image Map or Both

Indicate if Image Maps are to be:
Server Side or Client Side 		Image Map graphic will be:
Supplied by you? Created by NETstat?
May we include a link at the bottom of the pages (in small type) which reads "Site hosted by NETstat, Web Design by Sierra Sun, Inc." Yes No

Registering and Advertising Your Web Site
Would you like us to:
Find industry-wide link pages and negotiate reciprocal links to and from their Web pages.

Notify you of Purchase Web advertising

Announce in appropriate newsgroups and mailing lists.

Develop a "signature" mini-ad attached to all your e-mail messages

Make your Web site part of one or more of the many "malls."

Key words which people might use to find your product or service
A 25-word (200 character) sentence or two describing your Web site using as many key words as possible in a "readable" sentence.
Are you already a NETstat customer? Yes No
If so, in which areas has NETstat served you?
Domain Name Reservation/Registration            Email Services
NETstatTech Support Consulting Services      Server Hosting
I am already a Web Design client                     NetAnnounce
How did you hear about us?
Existing NETstat Client - Please identify

Trade Publication - Please specify         

Other Web Site - Please identify             

Radio, KVBC 105.1 FM    Other Promotion - Please identify 

Other comments/information:

We are looking forward to hearing from you and designing your Web site soon! Thanks.

NOTE!! The term "Supplied by you?" above refers to web site ready files that require no enhancements be done at NETstat Associates. These files are to be subitted with the other information you are providing us for your site.

E-mail