The purpose of my web site is for (choose one):

Personal
Business
Organization

If you chose Personal please click here
If you chose Business please click here
If you chose Organization please click here

Personal Web Site Section:

What do you want your web site to do? What are your goals? (Check all that apply)

To have email accounts
To provide information (family tree, family events, Family history, Advice, Share Knowledge, Weddings, Reunions)
To help bring people together
Display pictures
Forum
Chat
Blog
Other

If you Chose Other in the question above please include your other goals.

What Main Topics or Sections will your web site have? (Check all that apply)

Home Page
Frequently Asked Questions
About Us
Contact Us
Directions
Photo Albums
Videos
Music
Information Topics and Sub pages
Forum
Chat
Blog
Other

If you Chose Other in the question above please include your other topics.

Does your web site have an overall theme or purpose? If yes describe.

Please Click Here to go to the next section, Web Site Design

Business Web Site Section:

What do you want your web site to do? What are your goals? (Check all that apply)

To have email addresses
To have an online ad
Provide Information about your company, Products or Services
Reach new markets or clients
Provide online customer service
Conduct market research
Save on printing costs by offering electronic brochures
Increase sales response times
Sell products from the web site
Other

If you Chose Other in the question above please include your other goals.

What Main Topics or Sections will your web site have? (Check all that apply)

Home Page
Frequently Asked Questions
About Us
Contact Us
Services Offered and their sub pages
Products Offered
Product Specifications
Product features & benefits
Policies (Privacy Policy, Return Policy, etc)
Testimonials
News and Events
Newsletter
Press Releases
Articles
Forum
Chat
Blog
Site Map
Other

If you Chose Other in the question above please include your other topics.

Describe what your business does?

Please Click Here to go to the next section, Web Site Design

Organization Web Site Section:

What do you want your web site to do? What are your goals? (Check all that apply)

Provide Email addresses for members
Provide information about your Organization
Reach new members
Reach new contributors/ donors
Conduct Research
Save on printing costs
Display event calendars
Display news or events
Services offered
Newsletter
Forums
Blog
Chat
Online Classes
Other

If you Chose Other in the question above please include your other goals.

What Main Topics or Sections will your web site have? (Check all that apply)

Home Page
Frequently Asked Questions
About Us
Contact Us
Services Offered and their sub pages
Does your Organization Sell Things
Information: Policies, Bylaws, etc.
News and Events
Newsletter
Forum
Chat
Online Classes
Press Releases
Articles
Site Map or Table Contents
Other

If you Chose Other in the question above please include your other topics.

Describe your organization?

Please Click Here to go to the next section, Web Site Design

Web Site Design Section

Is your Web Site already Designed?
Yes
No

Does your Web Site Need to be Designed or Redesigned?

Yes
No

Do you want Host-U to Design or Redesign your web site?

Yes
No

If you don't need Host-U to do any Design work click here to go to next section, Domain Name

If you want Host-U to do Design or Redesign work continue with this section.

What Design Services do your require? (Check all that apply)

Web Pages Logos Banners Web Elements Top of Page Graphic Site Navigation Other

If you selected Other in the question above, please enter what other design services you are looking for

Site Content Section

Who is going to create your web site's content? Please Make a Selection Myself Myself with help from Host-U Host-U with input from me Other

If you Chose Other in the question above please give details

What Site Content Services do you require? (Check all that apply)

Proof Reading Comparative Proof Reading Copy Editing Substantive Copy Editing Writing Services Other

If you Chose Other in the question above please tell us what other content services you need.

Domain Name Section

Every Web Site Must Have a Unique Name for your Web Site's Domain Name.

Do You already have a Domain Name Registered? Yes No

If You already have a Domain Name Registered Please enter it here:

If You do not have a Domain Name, Please Enter up to 5 Unique Names in Order of Preference for registering a Domain Name. (Domains will not be registered until you approve service from us.)

Domain Name Choice 1:

Domain Name Choice 2:

Domain Name Choice 3:

Domain Name Choice 4:

Domain Name Choice 5:

Hosting Section

Do You Need Hosting Services: Yes No Don't Know

Do You Want Host-U to Provide Hosting Services: Yes No Don't Know

Please Select Choice that best describes your Hosting Needs:

Email Only
Email, hosting, and limited or no selling on site
Email, hosting, medium level selling on site
Email, hosting, high level selling on site
Not Sure

Email Accounts Section

How Many Email Accounts are you interested in having?

1-5
6-20
21-50
51-100
101-250
Over 250
Not Sure

Ecommerce Section

Are you going to do any selling on your web site? Yes No Don't Know

If you don't need to do any selling click here to go to next section, Multi-Media

If you are going to do any selling on your web site please continue with this section.

How Many Items or Services will you be offering for sale? (Total Number)

1
1-5
6-20
Over 20
Don't Know or Unsure of Total Amount

Would Any of the Items that you will sell require options (example: size small, medium, large)?
Yes
No
Don't Know

Would Any Options require price increases or decreases (example: Xlarge add $2.00)
Yes
No
Don't Know

Would Any Items you are Selling have Recurring Fees (example: $10.00 first month $5.00 each month after first)?
Yes
No
Don't Know

Other Selling Features, Comments or Questions about Selling on Your Site?

Multi-Media Section

What Multi-Media Services do You Require? (Check all that apply)

Music Video Flash Real Audio/Video Windows Media Quick Time Video Other

If you Chose Other in the question above please include your other Multi-Media Needs.

Packages Section

Would you be Interested in a Package that Includes Web Design Service, Email Accounts, Domain Name Registration or Transfer, Web Site Hosting, Web Site Maintenance and Mangement, and other features? Yes No

Budget Section

What is Your Budget for this Project?

$120.00 to $450.00
$450.00 to $2,300.00
$2,300.00 to $4,000.00
$4,000.00 to $5,000.00
$5,000.00 to $6,000.00
$6,000.00 to $7,000.00
$7,000.00 to $8,000.00
$8,000.00 to $10,000.00
More than $10,000.00
Budget Not Set Yet
Unsure of Budget Needed

Comments or Questions Section

Do You have Any Comments or Questions?

Contact Information Section

Please provide the following contact information:

Name:

Company Name or Organization (if applicable):

Phone:

E-mail:

When is The Best Time to Call? Please Select Best Time to Call Morning Afternoon Evening Any Time is Fine