Red Tie Marketing
Click here for multimedia form!

Web Design and Development Information

Contact Information   * Required Information
Name   E-Mail Address
Mailing Address Phone Number
City Company
State Fax Number
Postal Code  
Website URL
Enter the two words in the white box to verify you are a human.

All Websites are Custom Built to YOUR Satisfaction!
Project Information
Project Start Date   Project Deadline
Project Description
Please be as detailed as possible so that we can provide an accurate proposal with all of your requirements.
Number of Pages   Approximately Exactly
Website Content
Graphic Content
Scope of Project
(Please check all that apply)
Website Redesign
New Website from Scratch
E-Commerce (online store)
Content Management System (CMS)
Database-Based Data Storage (survey results, email addresses, etc)
E-Mail Services (Customer Relations, Newsletters, etc)
Website Conversion (i.e. ASP to PHP)
Hosting Services
Domain Registration
Website Maintenance
Marketing / Search Engine Optimization
Other (please specify below)
Current Website Information
Current Hosting Solution Windows   Current Domain Registration Information
(domain registrar, hosting company, etc)
Not Sure
Current Database Solution Access
Desired Website Components (check all that apply)
Primary Colors   Custom Work
Red E-Marketing Package   Glossary / Dictionary
Orange Business Identity Package Guestbook
Yellow Blog News (RSS) Feed
Green Calendar Photographic Work
Blue Custom Graphics Work Surveys and Polls
Purple E-Mail (Web and Outlook) Video
Black & White Forums Visitor Statistics
Grey E-Mail Newsletter Website Search Engine
Website Design Questions
List five web sites that you like the design of, or elements of its design. Please explain why. (Any website)
List five web sites that you do NOT like the design of. Please explain why. (Competitor's Websites, especially)
Any additional comments or information?
Thank you for your interest in our web development services. Please Click 'Submit Form' to the right to send it to us via e-mail. You can also download the XML file generated by this form (located on the next page) for your personal records.
Red Tie Marketing
Copyright © 2007 Red Tie Marketing
70 Linden Oaks, Rochester, NY 14625
Phone: 585-254-8580
Fax: 585-254-8045