Getting Started: A Quick Start in Building Your Web Site

1. Please provide the following information for your site (fields marked with * are required).
   1. The full name of your business
      
      
      
   2. Contact information for your business
      

      *Name
      *Street part 1
      Street part 2
      *City
      *State or Province
      *ZIP or Postal Code
      *Country
      *Telephone (with area code)
      Fax (with area code)
      *E-mail address

      
      
   3. A list of keywords that people might type to search for your business.
      
      
      
   4. A concise (max 35 words) description of your business.
      
      
      
   5. A longer, one or two paragraphs description of your business (not necessary if they are included on a brochure - see B below)
      
      
      
   6. Do you have an Internet provider?      Yes          No
      If so, what is its domain name? (i.e. teleport.com)
      
      Do you already have Web pages set up with them?      Yes          No
   
    
2. Please send a copy of your logo and/or brochure, if you have them, to
           Ekistics, Inc.
           24511 NW Moreland Road
           North Plains, OR 97133
    
3. Optional (mail to address above):
   1. Other information you want to provide on your site, including links to other sites.
   2. A form for information your customers can print and fax back to you.
   3. One or two pictures on your site.
   4. A map directing people to your site.
   5. Any layout that you would particularly like for your site -- this can be drawn by hand if you wish.