So you have finally decided to get a website, or maybe you have a website that needs a re-design. You are about to take the first step towards online success. Please take about 10-20 minutes and fill out the form entirely. The more information you can provide us now will enable us to quote you accurately and in a timely fashion. Fill out the form and click "Quote Me!" at the bottom and we will get you a FREE quote within 24 hours of your submission. Thanks and looking forward to building you a positive web presence.

The Basics

First Name:

Last Name:

Company Name:


Phone #:


E-mail:


Tell us about your business in detail. What do you offer and to who?


Do you have a Logo? This is important for branding purposes. If you don't have a logo yet, don't worry we can make you one!

Yes, I have a logo No, I don't have a logo - I'll need you to make me one

What are your company colours?


What is the slogan or catch phrase for your business?


If you have an existing website, what do you like/dislike about it?


Current URL: (if applicable) Example: www.jtgsystems.com


If you don't currently have a website URL, or you would like a new one - please provide 3 desired choices and JTG Systems will check their availability for you in order of preference.

URL Choice #1:
URL Choice #2:
URL Choice #3:

The Specifics

Who are your competitors? Please also include your competitors website URL's. What do you like/dislike about your competitors websites?


Will you provide advantages for your website's visitors?(coupons, free bonuses, free shipping and handling, free upgrades, etc.)


Define the criteria that will determine if the web site is a success.


What are you looking for in a website?

An Informational site (provides information about your company)
An Entertaining Site (a site that draws visitors through interactive entertainment while still providing information about your company)
An E-commerce Site (a site that sells items directly or through affiliate links)

If you want an E-commerce site, what type of e-commerce solution do you require?

Flat file page, non-interactive. Visitors must print and fax order or phone order in.
Single page secure order form that sends each order as an e-mail.
Multi-page secure order form with shopping cart, visitors can pick products while continuing to look at the site, change their order, preview order and submit on-line. Order sent as e-mail or downloaded via FTP from the server.
Full e-commerce shopping cart with automated real time credit card processing, integrated with backend database.

What are the main reasons for this website?

Select ALL that apply.

To provide customer service.
To sell a product. (E-commerce)
To increase familiarity about your company.
To provide general and/or product information.
To increase awareness about your company.
Show my business in a favorable light.
Develop a list of qualified prospects.
Encourage clients/customers to contact us.
Encourage clients/customers to contact us via email.

Who is your target market? Be specific. This important in determining which site style will appeal to the majority of your visitors.

0-17 18-25 26-35 36-45 46-55 56-65 56-65 66+

Do you want to use a survey form to gather information from your visitors?

Yes No

If so what questions would you like to ask? Will you offer something in return for filling out the form (a free report, discount, etc.)


Check any of the following terms that describe your vision and theme for your website.

informative lucrative corporate attractive serene

honest mature family scholarly useful

popular clean colorful whimsical humorous

serious profitable fresh unusual cozy

clean - cut warm supportive innovative fast - moving

Do you have any custom graphic needs or will you be able to supply all of the images required?

I have all of the graphics ready to go I only have some of the graphics I have no graphics at all

What types of components other than still photos and text do you want to include? (e-commerce, virtual reality images, backend database integration, survey forms, feedback forms, referral forms, etc.)?


Is security required for the web site? Will there be sensitive files that need to be protected?
Yes No

Do you need a password protected members only area?
Yes No

If so, describe the members only area. What are the integral parts of it?

Would you like to make your own updates and changes to your website? Don't worry, there is no coding or programming skills required.

Maybe, I would like more info about it Yes, I would like that No, that's ok - I'll let you do that

How many pages are you going to need?


What are the page titles? (Example, Home, Products, Contact Us etc.)


By checking this box, I am agreeing that I will provide JTG Systems Design Division ALL text content for my website. I will also provide any graphics I would like them to use. I am aware that the price I will be quoted is based completely off of the information I have provided with this form. Any additional information/functionality that I want added to the project later will be charged in addition to the quoted price.

I agree