This "Request for Proposal" form will help us provide you with a useful & informative price estimates. This worksheet covers the following topics:

• Industry and Audience
• Design and Branding
• Interactivity and Features
• Goals for your Web Site
• Marketing and Promotion
• Investment and Timeframe

* indicates a required field

General Info First Name:* Last Name:* Company:* E-mail: Street Address:* Town/City:* State/Province:* Alabama Alaska Alberta (Canada) Arizona Arkansas British Columbia (Canada) California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba (Canada) Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick (Canada) New Hampshire New Jersey New Mexico New York Newfoundland (Canada) North Carolina North Dakota Northwest Territory (Canada) Nova Scotia (Canada) Nunavut (Canada) Ohio Oklahoma Ontario (Canada) Oregon Pennsylvania Prince Edward Island (Canada) Québec (Canada) Rhode Island Saskatchewan (Canada) South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Yukon Territory (Canada) (if in the United States or Canada) Postal Code/Zip:* Country:* Afghanistan Albania Algeria Andorra Angola Antigua & Barbuda Argentina Armenia Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Bermuda Bhutan Bolivia Bosnia & Herzegowina Botswana Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burundi Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Colombia Congo Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea Guyana Haiti Heard & McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran (Islamic Rep. of) Ireland Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Korea (South) Kuwait Latvia Lebanon Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Martinique Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Norway Oman Pakistan Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Lucia Samoa Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovakia Slovenia Somalia South Africa Spain Sri Lanka St. Helena Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Islands U.S. Minor Outlying Islands Uganda Ukraine United Arab Emirates United Kingdom USA Uzbekistan Venezuela Vietnam Virgin Islands (British) Virgin Islands (U.S.) Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe Phone Number:* Fax Number: URL: http:// How would you prefer to be contacted?* Phone E-mail How did you learn about Dataworx? Please select: Article/Press Direct Mail/Postcard FirmList.com MarketingTool.com Print Ad Professional Organization Search Engine Site Credit Link Trade Show WebExpansion Seminar Other Source How would you best describe your proposed Web site? Brochureware/Marketing Tool E-commerce Extranet Full-featured Customer/Client Service (Interactive) Intranet

Industry & Audience Which best describes your business? Please select: Educational Fashion, Jewelry, & Accessories Financial Food Industry Manufacturing/Industrial Media & Entertainment Music, Film & Arts Non-Profit Organization Services & Human Resources Sports & Recreation Technology/Software Travel Other: Please tell us a little about your business: Please list a few competitor sites, or sites with design and functionality that appeal to your organization: http:// http:// http://

Interactivity & Features Interactivity on a web site enables site visitors to submit, retrieve and interact with information on your web site, establishing and maintaining communication between your company and potential or existing customers, clients and members. You can collect data and generate usable information through mailing lists, catalog requests, forums, and more. Please check the following interactive features that may benefit your company or organization: Visitor Interactivity: Chat/Realtime Discussion Instant Polls Contact Forms Prize Contests Discussion Forum Site Searching E-mail List Manager Survey Events Calendar Virtual Postcards Online Content Management: Case Studies/Success Stories Printer-Friendly Pages FAQ's Random Quotes Fast Facts/Did-You-Know? Secure/Protected Areas Links Send-to-a-Friend Press Releases/Articles Web Content Pages Multimedia: Flash Animation Streaming Audio Flash Games Streaming Video E-commerce Features: Credit Card Authorization Product Searching Discount/Coupon Codes Recommended Items Gift Certificates Sales Reporting Gift Registry User Product Reviews Package Tracking Wholesale Pricing Preferred Customer Pricing Wish List       Approximate # of Products or SKUs   Approximate # of Categories / Sub-Categories Describe the type / frequency of updates you anticipate on your site:

Goals for Your Web Site What factors will help you gauge the success of your site? Automated tasks run through site Build up mailing list Increased brand awareness Increase in number of customers/clients/members Increase in sales of product/services Increase of traffic to the site Larger sale per customer/client Lowered cost of distributor information Please describe your personal and professional goals for your site:

Marketing & Promotion In order to assist you in creating the most effective Web site for your company, we would like to know more about your current and future marketing strategies, your business philosophy, your products or services, and plans for the growth of your company/organization. What methods of advertising and promotion does your company or organization currently use or plan to use in the future? Direct E-mail (via Internet) Print Ads Direct Mail (via post) Radio Ads Events/Sponsorships Search Engines Online Advertising Signage Outdoor/Transit Ads Telephone Book PR Campaign Word-of-Mouth Please list other strategies you are considering: Do you need collateral or other promotional materials designed in coordination with your Web site? (To select multiple options, hold down the "Ctrl" key.) Brochures Business Stationary Catalogs Media Kit Postcards Posters Print Ads   Other Needs:

Investment & Timeframe How much of your business do you expect to conduct (in some manner) through your Web site? (For example, assisting new and existing customers, finding new clients, automating services, e-commerce) 100% about 75% about 50% about 25% about 10% under 10% What is your annual marketing budget? (Print ads, mailings, radio, TV, Web, PR, others) under $25K $25K - $50K $50K - $100K $100K - $250K $250K - $500K over $500K What is your planned investment for the design and development of your site? Please select: Under $5,000 $5,000 - $15,000 $15,000 - $50,000 Above $50,000 Other: Target Date to Commence: Select: January February March April May June July August September October November December Select: 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Target Date for Completion: Select: January February March April May June July August September October November December Select: 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 Please feel free to provide us with any additional information or comments:

Please feel free to contact us if you need any assistance in completing this form.
Call (607) 753-6933 or e-mail us at support@dataworxcs.com.

© 2003 Dataworx of Cortland, Inc. - "To The Point Solutions." - All rights reserved.