Geeks on Steroids is the place for professional custom website designs, custom designed websites, custom designs, shopping cart designs, blog designs, forum designs, business website designs

What is your current website address? (if applicable)
Will this be a new project, redesign or modification?	New Website Redesign Modification
Exact name you would like to be used in your logo:
What will be the tag line if any?	*
When would you like to begin?
Specifically describe your field of business:	*
What/Who is your target clientele?
What colors would you like us to use in your website?	*
Please describe any special type of graphic/icon you desire.
Describe any ideas you have in mind for your new website design:	*
Who are your competitors and what do you think about their websites?
What should come to your customers mind when they see your website?	*
Please provide reference images or links to website styles you like:
Anything you do not want to see in your website design?	*
List 3 different items you see being used to represent your company (i.e. person walking, tree, house, etc.)
Are you interested in search engine optimization / marketing?	Yes No

Your Name:	*
Company Name:
Email Address:	**
Location:	* Entering your location allows us to know what time zone you're in.
Daytime Phone #:	Providing a phone number will allow us to easily contact you regarding questions we may have about your project.
Evening Phone #: (optional)
Preferred Method of Contact:	Email Phone
When is the best time to contact you?	Morning Afternoon Evening
How did you hear about us?