Adult Media

Website Design Enquiry Form

Listed on this page are some questions which will help Adult Media provide you with an accurate quotation for your new website. Please ensure that you read and complete the questions correctly. If you are unsure of a question please make note of it in the Notes field and one of our team members will provide you with a more indepth description of the question.

Full Name

Company / Business Name

Address

City / Town

State

Postcode

Phone

E-Mail Address

Type of Business

Site Style		What sort of site are you wanting for your business. Examples of the Sites 'Style' is E-Commerce (online shop), Information Brochure or even a information hub (Online Document Management Solution).

Target Market		Where does your main customer base come from? Is it the home consumer, commercial, industrial or government?

Site Features		Please specify special functions you would like on your site, Live Chat, Forums, Newsletters etc.

Domain Name		What domain name do you want Adult Media to Register. If you already have a domain name you can specify that name in this text box.

Domain Registration	Yes No	Do you want Adult Media to register a domain name for you. An Example is www.yourcompanyname.com.au or www.yourcompanyname.com

Page Names		Please specify the names of the pages you would like to have on your new website. An example of this is Home, About Us, Products, Services & Contact Us.

Competitions Sites		In order for us to get a good understanding of your industry and the quality of the competitions website please list a couple of sites that you know is owned by your Competition.

Ongoing Maintenance Contract	Yes No	Would you be interested in an annual maintenance contract? This means that Adult Media updates the website software to ensure it is constantly up to date and meets the industry standards.

Search Engine Marketing	Yes No	While your site is built to be Search Engine Friendly it may not always achieve the desired result in the search engines. With search engine marketing Adult Media will perform tasks that aim to achieve better results in the Search Engines.

Budget		If you have a budget that you have set for the development of your new website we would like to know it so we can try and keep within that budget.

Notes

	please enter in the letters and numbers you see in the image generated