Please fill out all that apply and send this web form for more information.
This is in no way a contract for service with 27Levels.

Your Name


City


State


Company Name - Band Name - Club or Group Name


E-mail Address


Phone Number


Pager/Mobile


Fax Number


Who were you referred by, how did you find 27Levels?


What is the size of your company:

I'm not with any company.
Small business, 1 to 25 employees
Medium business, 25 to 100 employees
Large business, over 100 employees


What will be the purpose for your web page?

For my hobby, club, or just for fun.
To sell our products or services online.
Marketing tool to get new customers or clients.
Information resource for current customers.
Provide customers with a service.
What type of service?


What are your goals for the site?


Domain Registration.

Do you need a domain name registered?

Yes   No

Current domain name if applicable (URL):

What web domain would you like to have (URL):



Web Page Hosting

Do you want hosting set up for you?

Yes   No

How much server space will you need?

Under 25 megs. of space.
25 megs. to 100 megs.
Over 100 megs.
I don't know.

How many email addresses will you need?

1 to 25 email addresses.
25 to 100 email addresses.
Over 100 email addresses.

What is your web hosting budget per each year?

$50 to $100
$100 to $300
$300 to $600

If more, please fill in amount: $


Web Page Design Services.

Do you want 27Levels to design a web page for you?

Yes   No

What design services do you want?

Design new site.
Re-design current site. Number of pages:

Will you or someone with your company be updating the finished web page?
( Please read our terms and conditions of use. )

Yes   No, 27Levels will be doing my updates.

What is your web design budget?

$100 to $500
$500 to $800
$800 to $1000

If more, please fill in amount: $


Web Page Design Styles.

Do you want the body of your web page to expand to fit any size monitor?
Yes, that is the type of web design I want.
No, center the body with a fixed width of 700 or 750 pixels.
( Example, the web design of 27levels.com. )

Can we use "frames" in the design of your web page?
Yes, frames don't bother me at all.
No, I don't want frames used.
I don't know what frames are.

What type of web design are you looking for?
Professional
Conservative
Classy
Cutting Edge
Fun
Artsy
Other:

Please list a few other sites you like that are similar to the type of design you want.
What do you like about these sites?
Is there anything you do NOT want on your site?


What colors would you like us to utilize?

What graphics, photos, and other art do you have?
I will supply the art work/images and email them to 27Levels.
27Levels will scan photos/art work that I will provide.
27Levels will provide all the images, logos, and graphics.

What art do you need designed?


Can we use images from an outside source on your page?
( Such as "clip art". )
Yes   No

Who will provide the text content?
We ask that all text content be submitted in computer
format from programs such as Word or Notepad.

I will supply the text content and email it to 27Levels.
27Levels will reproduce the text from a hard copy I supply.

Other information:


Other Web Design Services

What e-commerce services do you want if any?

Shopping Cart for approx. (#) products/services.

Do you accept credit cards?
Yes    No    We would like to accept cards.

Do you have a PayPal account?

Yes    No

Web form for users to enter information for data gathering.
Completed form will be emailed to a given email address.
( Example, this form. )


Surfers can download software or other files from my site.

A guest book.

A message board / forum that I can moderate.


Do you have a deadline when the site must be completed?

If yes, what is the date:  


Other information 27Levels might need.