www.MomentumNetwork.com
Business Development Consultants
Global Channel Marketing & Support
For Small to Medium-sized Businesses

 SMB Consulting / Database Driven: Sales, Marketing, Web Design, Search Engines, Advertising

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Free Web Project Evaluation Request Form



Our team of talented interactive designers, certified programmers, and seasoned project managers will ensure that your development projects are on time, on budget, and within specifications.

For a free consultation please fill out the form below.
* indicates required field
First Name
Last Name
Company Name
Years in business
Industry
Other
Contact Email
xxxx@xxxx.com
Contact Phone () - Ext
Fax () -
Cell Phone () -


1. Are you currently working with a Momentum Coach?
yes   no
Coach's First Name
Coach's Last Name
Coach's ID Number
 
2. Do you have an existing website?
yes no
Current web address
ex.http://www.mysite.com
Who created it?
Web address of agency that created your site (if applicable).
 
3. What services are you interested in?
 
4. Please select the type of website you currently have or would like to have
What is the main goal of your website?
Other
 
5.Project Priorities
Please indicate below your development priorities
5.1 Budget (estimated investment)
Important --------------------- less important
1 2 3 4 5
Total estimated budget for this project.
5.2 Time (due dates, urgency, product launch)
Important --------------------- less important
1 2 3 4 5
Estimated start date for this project?
MM/DD/YYYY
What is your projected deadline for this project?
MM/DD/YYYY
5.3 Functionality (Database, Multimedia, Interactivity, Customer Relations Management)
Important --------------------- less important
1 2 3 4 5

Please indicate your interest level in the following features:
(1 = very important; 5 = not important at all)
    1 2 3 4 5   Logo/Identity Creation/Facelift
    1 2 3 4 5   Flash Animation
    1 2 3 4 5   Database
    1 2 3 4 5   Forms
    1 2 3 4 5   Search Engine Submission
    1 2 3 4 5   Shopping Cart
    1 2 3 4 5   Content Management System
    1 2 3 4 5   Website Hosting
    1 2 3 4 5   Photography
    1 2 3 4 5   File Upload
    1 2 3 4 5   Calculators
    1 2 3 4 5   Advanced Animation
    1 2 3 4 5   Video/Audio
    1 2 3 4 5   Secure Transactions
    1 2 3 4 5   Calendar
    1 2 3 4 5   System Reports

    Other Features

    How frequently will you need your site updated?
    Who will update your website?
    Approximately how many web pages do you estimate need to be created?


    6. How did you hear about Momentum Network?
     
    7.Please give us the web address of other sites you like (if any).




    Give a brief explanation why you like them
     
    8. Any additional information, questions or requests you would like to add?

    For your free quote please click    

    Thank you! A Momentum-Project Manager will contact you within 2 business days
    to address your web development needs.


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