Web site Design Questionairre

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Thank you for your interest in our web site design service. Please enter your details below, and we will respond to you promptly with a free web development cost quote based on the information you supply.

New Page 1

Salutation:

Mr. Ms.Mrs.

First Name

Last Name

Business Name (If applicable)

Billing Address

City

State

Country

Phone

Alternative Email

Primary Email

How did you find us?

Web site Project Information:

How Soon Does Your Project Need To Be Finished?

Please Check The Most Appropriate Option Pertaining To Your Web hosting situation
(domain name = www.yoursite.com)

I own my domain name and have web hosting

I own my domain name and need web hosting

I do not have a domain name or a web host

I do not know

Other

How many pages do you need for your site

Please Type Your Desired Domain Name (www)

I Already Own This Domain Name

Your Existing Site

Your Budget

Please Describe Your Services,
Or Products and Target Audience

Do You Need A New logo
or Do You Already Have One?

What Type Of Web Development
Does Your Website Need?
(please check all that apply)

Informational Only (photos, text, etc.)
Shopping Cart (ecommerce, selling products)
Flash Website (entire website done in flash)
Web Hosting

Briefly Describe The Website
Project You Are Envisioning.( If you have a sample of the site you will like us to design please forward the link)

Is There Anything Else We need to know? Any special instructions or comments

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