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Company Name *
Name *

First

Last
Address *

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

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Phone Number *

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E-mail address: *
WEBSITE DESIGN

Is this a new site or a re-design?
*
Estimated number of pages: *
Estimated number of images: *
Estimated number of videos (if needed):
Will you require Delux Multimedia to shoot and/or edit/compress video content?
Will you need Delux Multimedia to provide images or take photos?
Will a Flash (animated) introduction be required?
 Yes 
 No 
Details for email collection from fields and requirements, if applicable (e.g. name, address, email, etc.)
Will a Shopping Cart be required, and, if so, for how many products?
Will a Mobile Re-Direct site be required?
 Yes 
 No 
Please list examples of Website Design Preferences by listing URLs and a brief description of likes/dislikes.
WEBSITE CONTENT

New or Refreshed SEO (Search Engine Optimization) Copy/Content required? Please specify and describe.
BRANDING/MARKETING

Logo Design or Re-Design required:
If yes, color preferences and description of "look". (Can be as specific or abstract as you wish).
Will a business card/suite design be required?
Design of Business Collateral required. (Please check appropriate boxes.)
 Letterhead 
 Envelopes 
 Custom Invoices 
 Postcards 
 Flyers 
 Menus 
 Other (please describe) 
SOCIAL MEDIA and WEB EXPOSURE
 Yelp profile 
 Need
 Currently Have 
 Facebook 
 Need
 Currently Have 
 Twitter 
 Need 
 Currently Have 
 Google Profile 
 Need
 Currently Have 
 Yahoo Business 
 Need
 Currently Have 
 Foursquare 
 Need
 Currently Have 
Additional Social Networks required (if any):
Direct submission of website to Multiple Search Engine Required? *
 Yes 
 No 
If Yes, please add details:
Images, files, existing logos you would like us to view.
MISCELLANEOUS ITEMS:

Any additional/special requirements?
Estimated Budget:
How did you hear about Delux Multimedia?
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info@deluxmultimedia.com
(415) 236-3805

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