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Get a Website

Please complete this form to assist us in understanding your project needs. By sharing your ideas and business needs with us, we will be able to provide you with an itemized estimate containing our services and prices. The estimate will outline exactly what your website will cost and what it will include. All information is kept in strict confidence.

All information on this form is strictly confidential and will not be shared.

Please fill out the form below as best as possible. The more information you supply us with, the more accurate the quote will be.

* Indicates Required Fields

 

First Name*

Last Name*

Company

Email Address*

Daytime Phone*

Evening Phone

City

State

Country

 

 

TYPE OF WEB DESIGN NEEDED*
New Web Design
Update My Existing Website
Maintain My Existing Website

   
 

WEBSITE PURPOSE  (check all that apply)
Establish a presence
Provide information
Provide a service
Virtual community
Sell products
Other (please specify)

   
 

WEBSITES THAT YOU LIKE

URL 1:
   
URL 2:
URL 3:

   
 

WEB DESIGN STYLE
Don't Know
Contemporary
Artistic
Business Oriented
Futuristic

   
 

DO YOU HAVE A LOGO?
Yes
No, but I would like one
Don't need one

   
 

STATIC PAGES
Don't Know
0 Pages (Just need functionality)
1-5 Web Pages
6-10 Web Pages
11+ Web Pages

   
 

WEBSITE MAINTENANCE
I would like to maintain the website myself
I would like a content management system
I would like ASAP to maintain it

   
 

ADDITIONAL FUNCTIONALITY  (check all that apply)
Sell Products or Services through a shopping cart
        
         Do you currently accept credit cards?
       
No
       
Would like to
        Yes

Provide a Membership System
Would like a calendar that others can add to
Allow people to communicate through a forum on your site
Provide an online directory with search capabilities
Provide a photo gallery
Other (please specify)

   
 

SEARCH ENGINE SERVICES
None
Submission to Major Search Engines
Search Engine Optimization & Submission to Major Search Engines

   
 

WEBSITE HOSTING
No
Yes

   
 
   
 

* DETAILED WEB DESIGN PROJECT DESCRIPTION

 

 

 

WEB DESIGN BUDGET
Under $500
$500 - $1,000
$1,000 - $5,000
$5,000 - $15,000
$15,000 - $50,000
$50,000 +

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