Contact Roderick Designs

Before we can get started, we need to know a little more about what you are looking for in a website. Just tell us what you want us to know, and we can get the ball rolling.

Client Information Form

* Required

Name*

Business Name

Address

City

State

Zip

Phone

Fax

Mobile

Email*

Website

The following questions relate to the website you are considering. Just fill in as much as you can. It will help us get a better idea what you have and what you want.

Yes

Do you have the domain name for your site registered?

What time frame are you interested in for your site's construction?

What is the principal purpose for your website?

Are there any special features you would like on your site?

What is you budget for this site?

Other information to help in this process