This online questionnaire is designed to help us work with you to design a website more efficiently with respect to time, money, and quality the first time around. You can print this form and have it on hand when you discuss your website on the phone or in person with an Aussie Interconnect representative. After you have filled in the form, press the Print Page icon and then you will have a copy for your records. We will then contact you by the phone number supplied or directly with an Aussie Interconnect representative to discuss more extensively options for your website.
Full Name (*)
Please type your full name.
Phone (*)
Mobile
E-mail (*)
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Address (*)
Please type your address.
City or Town (*)
State and Postcode (*)
Please enter your State and Postcode
Company Name
ABN or ACN or Business Registration No
How should we contact you?
E-mail Phone
When would you like to be contacted? (*)
Please select a date when we should contact you.
This questionnaire will answer many of the queries generally raised and may also help you understand what you want in a website.
1. Please check the boxes below that best describe what you are looking for in your website:
To gain a favourable impression of the company. To develop a qualified list of prospects To sell products directly and process credit cards To encourage potential customers to contact us. To make available product information and price lists To strengthen brand identification.
2. Construction Timeframe:
Please select a date when you would like completion of your web project.
3. Look & Feel of your website:
What other websites do you like the look of ? These may or may not relate to your industry:
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What are your competitors website addresses:
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Can you describe what you would like your website to look like or would you like to leave it to us ?:
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It will very helpful if you will include a copy of your company's logo, brochures, catalogue, etc. so we can see how you present your company image. We can accept .jpeg, .gif, .pdf, .eps, .psd and other image formats.
File Upload
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File Upload
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File Upload
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File Upload
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File Upload
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4. E-commerce :
The big one. One of the best ways to sell something is online. We can set you up with a storefront and a control where you can add/edit products. Or if you are like most of our customers and want a customized system we can discuss further options with you.
I need an Online Store I do not need an Online Store (skip to Domain Registration)
Please specify your e-commerce requirements.
It will have between:
1-25 Products 25-100 Products 100-1000 Products 1000+ Products
Please specify your e-commerce product requirements.
5. Domain Registration :
I don't have one or I want another one.
Please specify your domain registrations.
Desired domain name/s :
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I already have a domain name.
Please specify your domain requirements
Present domain name :
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6. Search Engine Optimisation :
What Keywords or phrases would you use to search for your website in a Search Engine such as Google ?
List as many as you can think of and we will analyse them for you.
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In one sentence describe what it is your business does :
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7. Notes :
Please let us know if there is anything else we should to take into consideration when compiling your new website:
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Aussie Interconnect Agent
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Captcha Anti Spam
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