Questionnaire

	Name:   Company/Organization:   E-mail:   Phone Number:   Fax Number:   Billing Address:   City:   State:   Zip/Postal Code:   Desired Web Address (Fill in top 3 choices) :           Purpose of Site:   What is the target audience? (Age group, Education level, Income level) What type of interaction do you want with potential clients? Do you have printed work on company or organization?(preferably on disk) Is there a concept or initial layout of the type of site desired? How did you hear about Watts-Wright & Associates? Additional comments: