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Website Project Request Form

PLEASE NOTE: I am currently on maternity leave (through mid-September 2010) Response time for website and tech requests is longer now then normal. PLEASE include your desired launch dates and note when you need to make a decision by. I will do my best to accommodate all requests for introductory calls, however over the next 10-12 weeks, baby comes first!! If you have not received a personal response from me within 10 business days and are still interested in scheduling an introductory call, please send a follow up email to vpk@victoriakeale.com.

Your Name (required)

Your Email (required)

Your Contact #

Time Zone:  Pacific Mountain Central Eastern International Other

Project Web Address:

Is this a new site or a redesign?  New Redesign

When do you plan to launch this project?

 4-6 weeks 6-9 weeks 3 months 4 months 5 months Unknown

What is your budget for this project?

 $800-$1000 $1000-$1500 $1500-$2000 $2000-$2500 $2500+

Please describe what your site will involve / be selling / be about:

Please describe your target audience:

Please list 2-4 live sites you like, competitors sites, or sites you hate and tell me why:

Please list any additional functionality you may need (i.e. shopping cart)

Additional Info

Please note that I will make every effort to reply to you in a timely manor. This does not include weekends, holidays or at midnight (unless I am actually here working). If you do not hear back from me within 48 business hours, please feel free to shoot me an email at vpk@victoriakeale[dot]com to make sure I received your request!!