MaxiaPacific - Internet Solutions for the South Pacific
Contact
Sunday, February 5, 2012  
  Website Services Request Form

Please feel free to complete and submit our obligation-free request form regarding your website design and development or hosting requirements.

Your Contact Information
Full Name Email
Company Name Telephone
Mailing Address Fax
   
Current Web Details
Do you have an existing website? Yes No
If so please provide your website address:
If not, do you have a domain name reserved? Yes No Don't Know Not applicable
If so please provide your domain name:
Do you have an existing website host? Yes No Don't Know
If so please provide the host company name:
   
Services Required
Which of the following services do you require?
Please tick if required
 
New Website
Website Re-Design
Domain Name Registration
Website Hosting
Website Maintenance
Flash Introduction/Presentation
Other:  
   
Your Website Requirements


What style of website do you require?
Please tick if required
 


Corporate
ECommerce
Fun/Exciting
Simple
Conservative
Dynamic


Would your site comprise mostly graphics? or mostly text?

Mostly Text
Mostly Images/Graphics
Even Combination


Please list the web addresses of any sites that you have seen that are similar to what you would like to achieve with your own website:
1.
2.
3.

Please provide any other style details:


Please select the information you wish to incorporate into your website
Please tick if required

Products
Services
Prices/Rates
Specials
Packages
Company Profile
Contact Details
Frequently Asked Questions
Links Page
Staff Details
Downloadable files (DOCs, PDFs etc)

Accommodation
Facilities & Dining
Activities
Scuba Diving
Guest Comments
Honeymoons
Weddings
Photo Gallery
Location & Maps
Latest News/Press Releases



Approximate number of pages required :





Approximate number of downloadable files required (optional):



Please select Special Features you require

Please tick if required
 

Contact Form
Booking Form
Video
Search Facility (large sites)
Email a Friend

Please provide any further information
For example type of database if already existing


Email Subscription Lists
Database Facilities
Secure page to accept credit card details


Domain Specific Email Addresses
How many email accounts attached to your domain do you require? (e.g. info@yourdomain.com)




What type of email addresses do you require ? Forwarded to existing email address(es)
Separate Pop Account(s)
Don't Know

Company Information
Do you have existing Company Branding such as logo, brochures, colours? Yes No Some
Do you have existing photographs? Yes No Don't Know
Are your photos digital images? or photographs? Digital Images
Photographs requiring scanning
Combination of above
Don't Know

Please describe your company products and services
Please describe your target audience
e.g travellers who wish to visit surfing destinations


Maintenance of your website
Please select the option you prefer regarding future maintenance of your website.

I would like you to update my site for me and charge me for the service on an hourly rate. I will send any new content to you as and when I require.
I am familiar with the technical aspects of FTP and would like FTP access so that I/my company can update our site in that way.
I would like the site to have your Website Content Management System (WMS) so that I can update my site easily through a user-friendly admin area.
Not sure

Budget
What is your budget for the website? (Please select)
Do you have a project deadline?
Please provide any further project information



How did you find out about us?
 
  
Username Password  
Forgotten Password?

 



Home | Web Development | Marketing | Expertise | Portfolio | Company Info | Contact | Site Map | Fiji Resources
  
  

MaxiaPacific
Nista.com - South Pacific Network
Website Design, Hosting & Translation
Copyright © 1996-2005