| Contact Information: | 
          
            | Company Name: |  | 
          
            | Contact Name:   (Required) |  | 
          
            | Physical Address: | 
 | 
          
            | City: |  | 
          
            | State: |  | 
          
            | Zip: |  | 
          
            | Phone: | () 
		        - | 
          
            | Fax: | () 
		        - | 
          
            | E-mail:   (Required) |  | 
          
            | How I found H-D Solutions: | 
 | 
          
            | About your Company: | 
          
            | What industry is your business? |  | 
          
            | Do you currently have marketing materials? | 
                 YesNo
 | 
          
            | Can you provide existing marketing material? | 
                 YesNo
 | 
          
            | Who is your target market for this website? |  | 
          
            | About the Website: | 
          
            | Do you currently have a website? | 
                 YesNo
 | 
          
            | If yes, what is the address? |  | 
          
            | What is your desired completion date of the website? |  | 
          
            | What is your purpose for the website? |  | 
          
            | Site Layout: | 
          
            | Which pages do you want included on your site? |  | 
          
            | Other Pages:  (please list the names of these pages) |  | 
          
            | Total Number of Pages: |  | 
          
            | Is there a design for the new website? | 
                 YesNo
 | 
          
            | What are your color preferences? (esp. what colors are you using in current marketing materials)
 |  | 
          
            | Font preferences? (Verdana, Times Roman, Arial, Helvetica, Georgia, none)
 |  | 
          
            | Background preferences? (solid color, texture, border, pattern, watermark)
 |  | 
          
            | Do you have your logo in electronic format? | 
                 YesNo
 Not Required
 | 
          
            | Do you have the content written for the site? | 
                 YesNo
 | 
          
            | Do you have the images/graphics you wish for the site? | 
                 YesNo
 | 
          
            | Do you want audio or video streaming on the site? | 
                 AudioVideo
 Both
 | 
          
            | Which pages? |  | 
          
            | What is the overall impression you want to give your visitors? (High quality merchandise, elegance, sense of humor/fun, professionalism, etc.)
 |  | 
          
            | Hosting and Domain Names: | 
          
            | Do you have a host selected? | 
                 YesNo
 | 
          
            | Would you like us to provide a host? | 
                 YesNo
 | 
          
            | Have you purchased a domain name? | 
                 YesNo
 | 
          
            | Domain name needed?   
	What domain name would you like? We will lookup for availability
 |  | 
          
            | Other: | 
          
            | Any other comments/suggestions? |  |