We
invite you to complete this Online Interview form.
* indicates required fields
Please tell us about your organization:
Your Name
*
Company or Organization Name
Address
City
State Zip
Contact
information
Email*
Phone number *
Fax
Type
of Organization:
Small Business
Non-profit
Church or Charitable Organization
Other
Needs:
How soon do you need a website?
30 Days
60 Days
90 Days
6 Months
1 Year or more
Do you need a domain name?
A domain name is your address on the web,
such as www.yourcompany.com.
Yes
No
Do you need email addresses?
ex. yourname@yourcompany.com.
Yes
No
If Yes, how many do you anticipate? 1-5
6-15
16-30
31 or more
Goals:
What are your goals? In other words, what do you expect to
accomplish with a website? Please check all that apply.
Online advertising or advocacy.
Have a place where my users can look up information about
my organization.
Provide a way for my customers to order online from my company.
Please use the following box to explain any of these or additional
goals:
Resources Available:
Use this section to identify people who will
be working on this project. Check all that apply:
Project Manager
Subject Matter Expert
Technical Writer
Developer / Programmer
Just Me
Use this section to identify materials already available:
Brochures
Photographs
Logo
Are these materials available electronically?
Yes, on disc or CD
No, hardcopy only
Clicking send
will transmit your information to JnJTech to allow us
to determine a preliminary scope for your project.
If
you have any questions, or would like a quote, you can
e-Mail us now.
Zip