business or organization name :

name :

phone number :

e-mail :

preferred method of contact :

phone email

existing site url :

purpose of your site :

what is the purpose of your site (audience, message, product, etc)?

approximate number of pages your site will have :

1-20 20-50 50-100 100-500

functionality of your site (check all that apply) :

basic information (text, images, document attachments)

media (audio/video, image galleries)

content management (publication lists, video and/or document libraries, product catalogs)

user management (user login, user features)

forms (newsletter sign-up, contact, etc)

blog capabilities

forum capabilities

payment processing (paypal, etapestry)

donor management (campaigns, databases, membership, contributions)