*First name:

*Last name:

Company:

Address:

City:

State/province:

ZIP/postal code:

Phone:

Fax:

*E-mail:

Where would you like to place the main menu?

What colors do you prefer?

Which specific colors do you prefer?

Web address of your company logo:

Your company slogan:

Where would you like to place your company logo?

Please list the types of images to be used in the design (plants, flowers, animals, scenic, people, children, historical, time, money, buildings, construction, cars, technology, computers, furniture, interiors, food, beverages, etc):

Please list the types of images NOT to be used in the design:

Please list those web sites you like for their design:

Please list those web sites you do NOT like for their design:

What is the target audience of the site (General, children, students, executives, parents, IT, health care, academics, etc)?

What font type do you prefer for body text?

Which overall style do you prefer?

Please choose the strongest attribute for the web site:

Comments and special instructions: