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 contact us

In order to give you as accurate a quote as possible, please fill out the following information to the best of your ability.

Please note that everything marked with an asterisk * is required information.

Section 1:  Contact Information.

Name: *
Email: *
Telephone: *
Company / Business: *
Company address:

Section 2:  General Website Specifications.

Do you have a current website? * No
If 'No', domain name to be registered:
If 'Yes', please enter your existing URL:
This website must be: * Transferred from an existing hosting service
Designed using literature that I will provide
Designed from scratch
Other Requirements
If you selected "Other" above,
please describe your needs:
Please state your objectives for this website: *
Do you have a fixed deadline for this project? * No Yes
If so, what is the deadline date?
What is your budget for this project? *

Section 3:  Simple and Static Website Specifications.

Approx. how many pages will your website have? *
Which of the following would you like your site to have?
Front Introduction Page About Us
Contact Us Products
Our Services Projects
Links Testimonials / References
Clients Latest News
Please list any other pages you require:
Can you provide logos and/or graphics? * Yes
Do you know of any websites that are similar in design or function to what you want? *
URL 1: URL 1: Similar Design
Similar Function
URL 2: URL 2: Similar Design
Similar Function
URL 3: URL 3: Similar Design
Similar Function

Section 4:  Dynamic and Database Driven Website Specifications.

If your website does not need any dynamic content, you do not need to fill out section 4.
Which of the following functions would you like your site to have?
Members/Users Database with Usernames/Passwords Message Board
Online Ordering (without online payment) Product Database
Online Ordering (with online payment) Mailing List
Email Contact Form Website Statistics
Classifieds Online Auction
Banner Advertising / Ad Management Content Management
Online Poll / Voting Form Processing
Online Chat Other Needs
If you selected "Other Needs", please describe them:
Is there anything else you would like to add?



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