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Quote - Web Design

Please fill out the following information by selecting open on the section heading. Fill out as much information as possible as this will help us to better to serve you.

Contact Information openclose



Company Name


Country (if outside USA)

E-mail Address


Information/Objective openclose

What is the primary function of your company/organization?

Company Size

What are your goals for the site?
Please choose as many that apply.

If so , how many?

Services Required

If so, how many pages?

Do you need an SSL (Secure Sockets Layer)
connection to make secure transactions?

Domain Hosting & Registration openclose

Do you have a registered domain name?

What is your current domain name, if you have one?

Do you have a hosting provider?

Required Services openclose

We would like to accept the following forms of payment.
Please choose as many that apply.

What features or services would you like to offer on your site?
Please choose as many that apply.

How many products/services?

What type of database do you have?

What promotion services would you like?
Please choose as many that apply.

What other marketing vehicles would you be intersted in?

Web Site Layout and Overall Design openclose

Please list all sites, if any, that match or are similiar in
design to the site you are requesting?

What do you like specifically about the above sites?

What do you specifically not want on your site?

What graphics, photos and other specifications
concerning art do you have?

What graphics, photos and other art do you need designed?

Other graphics or artwork considerations?

Web Site Content & Scope openclose

I have text or copy ready to be published?

Other text or copy considerations?

Additional Information openclose

What is your design budget?

Or Specify

What is your marketing budget?

Or Specify

Do you have a deadline when the site must be completed?
If yes, when? Click here to Place the date

Questions or other information we may need

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Remote / Onsite Support

Technical Consultation

Graphic Services

Web Applications

Security Sevices


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