EO Media + Design Client Contact FormThings to Think About Please submit the following information so I can better assist you and make your project happen:Name (First and Last) *Business or Project Name *Address Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d\'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalestinian TerritoryPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of AmericaUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWestern SaharaWestern SamoaYemenZambiaZimbabweCountryPhone *Email *Website URL or potential website domain name Do you currently have website hosting? Have you purchased your domain name? If so please, tell me who your service provider is. *Tell me a little bit about your business? *Your philosophy, what your business does (or will do), services you'll provide... How will you do it? What do you want people to think about you? What problems does your business solve?Why do you want a website/blog (or have your current site/blog redesigned)? Think about how you'll benefit your site visitors and how you can better serve them.What do you want visitors to do on your site? Different websites have different goals. Some sites are there to encourage visitors to purchase something. Others are there to provide information. The site architecture for an informational site is very different than the architecture for a site that wants people to buy something.Who are your prospective visitors? A website designed to appeal to 30-something professionals is going to be different than one aimed at young newlyweds or retirees. It’s important that you have a good grasp on who your visitors/readers are. It affects not only the look and feel of the site, but may also affect usability and accessibility issues.What sets your business apart from others? How are you different, where do you emphasize your difference, what kind of content do you want featured on your site?What is your budget? *What are your long-term plans for your site? By what date do you need the site completed? Who will be responsible for updating your site? I can also manage your content and post updates to your site if needed. For that, we can setup a maintenance plan each month.What do you NOT want on your website? Do you already have business logo? Have you give any thought to website color schemes? Or, please list a few website designs that peak your interest. Any other questions? Or comments? How did you hear about me? YELPWeb SearchReferral/Word of MouthWho referred you? VerificationPlease enter any two digits *Example: 12This box is for spam protection - <strong>please leave it blank</strong>: