Personal Information

Full Name:

Telephone Number:

Email Address:

Company Name:

Type of Business:

Have you already purchased a domain name?

If yes, what is the name?

If not, will Avalon be setting this up for you?

Do you have a host for your site?

If not, will Avalon be setting this up for you?

Is the site a redesign or a new design?

Have you seen a site that
you would like yours to resemble?
Type in the site address:

How many email addresses
would you like your site to have?

What is your budget?

What is the timeframe for completing
your website?

How did you hear about
Avalon Web Site Design?  

Finally, can you give a brief explanation about what you are after as far as the look of the site?
Include desired features, colors, etc. (eg. Flash, active buttons, etc.):