Henderson Graphics

	Please complete this form and give us a better idea of the shape and goals of your website. Help us understand the image you want to project, and how you imagine your company should appear to your market. If it is more complex than we can accommodate with this form, please feel free to contact a designer by phone or email.
	CONTACT INFO: *required
Company*
Contact*
Address
City
state
Zip code
phone*
Fax Number
E-Mail
	SITE INFO: *required
I have a domain name registered*		Yes, I'm prepared to send the registrar user name and password	No, I'll get one myself	No, I'd like you to register my site's name
SITE NAME*
PURPOSE OF THE SITE*					Describe site's function for your company, and essential pages that must be included
COMPETITOR WEBSITE SAMPLES					For an idea of what's common to your market
SAMPLE SIETS I'D LIKE TO EMULATE					These are sites that you need to look as good as...
Comments
relevant Deadlines					When does it need to be ready for use?
Referrer					How did you hear about us?