So that we can provide you with the most accurate quote possible, please take a moment to fill out the form below as completely as possible. Thank you for your interest in Alkon Consulting Group, Inc.!

Organization
Name		*
Address		*
City		*
State          Select    AL AK AZ AR CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA WA WV WI WY Zip Code		*
Phone          Fax
E-Mail		*
Current Web site

What will be the primary purpose of the Web site?

	Informational - Whether it be a business or personal project, an Informational Web site focuses on delivering relevant content to the visitor through text and digital media.
	E-Commerce - An E-Commerce solution allows the visitor to interact with your Web site, performing as a secure digital storefront for your products and services.
	Organizational - Informational Web site solution for non-profits such as a government, religious, or other non-commercial entity wishing to make a presence on the Web.

How will the content be managed on the Web site?

	Alkon Manage - We would like Alkon to manage our Web site content.
	You Manage - We would like to manage our own Web site content through the use of a customized Content Management System (CMS). Manage All Content Manage Some Content Unsure

Example Web sites - Please provide us with a few Web sites that will give us an idea of the style, layout, or content features you would like to implement on your Web site. Include the Web site address and what we should look at for each example. At least one example is required.

1	Web site URL		*
	What should we look for?		*

2	Web site URL
	What should we look for?

3	Web site URL
	What should we look for?

E-Mail Accounts

Yes     No

Will you be needing E-Mail accounts matching the Web site address?

If yes, approximately how many?

Logo Design

Yes     No

Do you have an existing logo?

If no, would you like us to create one as part of your Web site design?

Yes

Web Hosting

Yes     No

Do you already have a web hosting service?

If no, would you like us to quote you a price for web hosting?

Yes

Web site Translation

Yes     No

Will you require translation of your Web site into any other languages?

If yes, what language(s)?

Additional Suggestions & Instructions

Style Preference

Yes     No

Are there any specific colors, themes, or fonts you wish for us to use?

If yes, please describe.

How did you hear about us?	Please Select One    Search Engine Web site Phone Book Word of Mouth Advertisement Other
If other, please describe.

How would you like us to deliver your proposal?

E-Mail

Fax

U.S. Mail

Other

If other, please describe.

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