Website Design Form

Website Design Form

Thank you for purchasing a website package with Unitel Direct. Please complete the following form as comprehensibly as possible. The information provided below will form the basis of your new website. The more information you provide at this stage, the quicker the turnaround for site completion. If you feel that you would like help filling out this form then please call 0844 745 1111.

Once complete, review the checklist at the bottom of this form to make sure everything required has been completed, then please send to: or post recorded delivery to;

Unitel Direct (First Search Consultancy Ltd)
First Floor
Victoria House
Pearson Way
Stockton-On-Tees
TS17 6PT

Once we receive the completed form, we aim to complete your website usually within 4 weeks.

[1] Client Information
Company Name
Company Address
Company Telephone
Company Fax
Mobile number to be displayed on site
Company Email Address
Contact Name
[2] Domain Name
Is a new domain required?
ie / Yes/No
If YES what Domain Name would you like (Please give 3 choices as a backup if your original choice is not available)
1______
2______
3______
If NO what is the existing Domain Name that you would like to use with your website.
______
Does the existing Domain Name require hosting?
Meaning we will look after your domain name / Yes/No
If Yes, we shall send instructions at a later date of how to transfer your domain name to us. If No, we shall require domain name log in details at a later date.
[3] Email Access
Do you have an email address to be displayed on the website? / Yes/No
If Yes, please provide the email address below.
______
Would you like a contact form to avoid receiving spam? These can also help if people want to send enquiries without leaving your site
Yes/No
How would you be accessing your email? / (eg. Outlook, Outlook Express, Web Mail)
______
[4] Website Basic Information and Layout
How many pages will your new website have? / ____
What background colours would you like us to use? / Do you have a colour scheme for your business? (Providing a business card or letterhead would aid the design process)
______
What is the overall feel of the website you are looking for? / Please use descriptive words ie; playful, corporate, girly, floral...
______
Now, please provide website addresses of up to three examples of website you like. This will give us an idea of the layout you are looking for:
1.
2.
3.
What are the names of each page to be built? / (eg. Home Page, Services Page, Contact Page, Gallery Page, About Us Page, find us page) If additional pages are required, please continue on a separate sheet.
Page 1______
Page 2 ______
Page 3______
Page 4 ______
Page 5 ______
For each page of the website, we require text and images for that page. Please supply text below for each website page. If needed please supply additional information on a separate sheet. Please enclose any images that you need to be included on the website, on the back of each image please write what page you want the image to be found on. Alternatively, please email your website pictures to
(eg. If you have a home page, described your business, what you do, what you aim for, any mission statements. If you have a services page, describe the services and products you offer and any prices you wish to display.
Remember no one knows your business like you and the more information you provide gives customers a better understanding of your company.
Page 1 Text
______
Page 2 Text
______
Page 3
______
Page 4
______
Page 5
______

Check List

[ ] Completed all relevant sections of the Web Design form above.

[ ] Supplied any images required

[ ] Enclosed any cds including text, images or relevant information

[ ] Enclosed any flyers, photographs and company logos.