Strategic Internet Web Design and Development Questionnaire   
Strategic Internet Corporate Communication Information Details Checklist
Please provide ALL information requested below. If you do not have all of the information requested below, please leave it blank or tell us when you anticipate you will have it. If you have not already registered your domain(s), please indicate desired names. NOTE: We highly recommend you register all domain extensions to your desired URL, i.e. (.com, .net, .org, .us, .biz) otherwise domain pirates may do so and over time steal traffic intended for your Site. We also recommend you register your domain names with and without dashes between key words in your domain. Additionally, if you consider yourself a ‘Foundation’ or ‘Alliance’ and require membership status, we highly recommend you using the ’.org’ domain for your primary URL to create the perception that you are an ‘organization’ and not just a business.

If you plan to collect any personal information through forms on your site, we urge you to order an SSL Certificate in order to secure the data your clients are asked to provide. Using this SSL Certificate and the ‘https’ protocol will ensure that form data will be encrypted when it is submitted.
Company Information
 
Company Name *  
 
Acronym/Short Form  
 
Tag Line/Slogan  
 
Address Line 1 *  
 
Address Line 2  
 
City *  
 
State *  
 
Zip Code *
 
Phone Number(s) (Separate by commas) *  
 
Toll Free Number(s) (Separate by commas)
 
Fax Number(s) (Separate by commas)  
 
Executive Director/President  
 
  Click here to Upload Your Logo
  Click here to Upload Building/Office Photo
 
Design Model/Competitor Website  
 
Project Information
 
 
Do you want to conduct Webinars? GoToWebinar *  
 
Do you need to conduct online meetings? GoToMeetings *  
 
Web site details
 
Enter the URL or domain name(s) you would like, or one(s) you have previously registered  
 
URL of the domain registry account (if you have registered them elsewhere)  
 
Username to access your account (if you have registered them elsewhere)  
 
Password to access your account (if you have registered them elsewhere)  
 
Email accounts you want setup: (Up to 10) (Separate by commas)  
 
Standard E-mail accounts setup  
 
Email Aliases – (Email forwards).This can be for any or all Email addresses above. (Separate by commas)  
 
Personal details
 
Name *  
 
City *  
 
State *  
 
Zip Code *  
 
Phone Number *  
 
Your Email ID *  
 
Do you need any of the following?
 
Web-related services
 
Graphic Design-related services
 
Other Information/Comments  
Type the Code Shown Below  
   
 I have read and agree to all Terms of Services.
 
 

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