Businesses within The London Borough of Brent now have the opportunity to apply for up tp 20% discount on web design and ecommerce packages. Brent Online subscibers will also be entitled to special offers and discounts only available when you subscibe online. To take advantage of these amazing offers and discounts, simply complete and submit this registration form.

Section A

(1) Do you currently have access to the internet?

NO! (Please go to question 2)
Yes! (Please choose from selection below)


Broadband Dialup Other

If other, Please specify

(2) Do you have your own business or are you considering setting up a business in the next 6 months

If YES! (Go to Section B)
If NO! (Go to Section D)

YES (Please go to the next question)
NO (Please go to Section D)

Section B and Section D are required to recieve a FREE website analysis report.

Section B

(3) Do you own a business website?

If YES! (Go to next question)
If NO!(Go to question 5)

YES! (Please go to the next question)
NO! (Please go to question 5)

(4) What is the name of your website?

http://www.
Please send me a Free Website Analysis Report.

(5) Would you consider having a website built for your business or having your current website re-designed in the future?

If YES! (Go to the next question)
If NO! (Go to Section C )

YES! (Please go to next question)
NO! (Please go to question 8)

 

 

 

 
 

(6) What do you think would be your main reasons to have this website designed? - You may select more than one option.

To sell my products or services.
To communicate with my customers.
To give information about my business.
Other

If Other Please specify

(7) What type of design do you think would be the most suitable for your business needs?

A standard website design
(without any e-commerce solutions*)

A website design with an e-commece package adopted to suit my business.

A website design with a fully customized e-commerce solution designed and built to fit my specific needs and requirements.
Other

If Other, Please specify

(*E-commerce solution includes Sales and Order Processing, Payment facilities including credit cards as well as Invoice and Administration functionalities.)

Section C

(8) Approximately how many products / services do you currently offer or would be likely to offer to your customers?

None
1 - 5
6 - 100
101 - 1,000
1001 - 20,000
Over 20,000

(9) Are your products / services currently available on a database, spreadsheet or any other format?

YES! (Please specify format type below)
NO!(Please go to question 10)

Format Type

 

 
 

(10) Will you need multiple user access for the back office?. - Usually required if you receive a large volume of orders and more than one administrator is required for simultaneous order processing.

Only one user required.
1 - 9 users required.
10 or more users required.

(11) Please select any of the following types of marketing activities you are likely to use to promote your business.

Postcards Newsletters
Magazines Radio
Leaflets Mailshots
Television Newspapers
E-mail Classified Ads
SEO PPC
Posters Other
If Other, Please specify


(12) What is your estimated yearly budget available for marketing activities?

None
Up to £100
Up to £500
Up to £1,000

Up to £5,000
Up to £10,000
Up to £20,000
£20,000+

Section D

Company Name
Type of Business
Contact Name *
Position *
Address *
 
Town 
Postcode *
Tel. *
Email *
Fax

Required Fields*

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