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Quote Request

*Email Address
*Phone Number
Fax Number
Best time to call?
Do you currently have a web site?

If yes, what is the URL? http://
What products and
services do you provide?
What describes your needs?
What features are required? (check all that apply)
Static Web Pages
About Us Page Privacy / Legal Page
Services Page(s) General Information Page.
Map and Driving Directions Company Profile Page
Email Forms
Contact Form Enquiry Form
Refer a Friend  
Graphic Design & Multimedia
Flash Intro or Animation Virtual Tour
Video and/or Audio Logo or Banner Design
3-D Product Viewer CD-ROM Presentation
Dynamic Navigation  
Marketing Related
Search engine optimization Search engine submission
Promotional Popup Newsletter / Mailing List
Internet Marketing Campaign Downloadable / Printable Documents
Database Driven Features
User Login / Membership Area News / Announcements
Classified Ads Employment Listings
Online Polls Event calendar
Bulletin Board / Forum Chat
Photo gallery featuring
estimated # of photos
Database Driven Page(s)
estimated # of items
Access Database SQL Server 2000 Database
MySQL Database  
Basic Shopping Cart
# of products
Advanced Shopping Cart
# of products
Secure Online Credit Card Processing Single Page Order Form
Web Hosting & Email Options
5 POP Email Accounts WebMail
10 POP Email Accounts Hosting Control Panel
20 POP Email Accounts Visitor Statistics
SSL Certificate  
Other feature not listed above
Do you need a domain name registered?
If yes, what would you like it
(or them) to be?
Do you need web hosting?
Do you need content written for your site?
List 3 web sites and what attributes you like/dislike about them.
1. http://
2. http://
3. http://
Time and Goals
What are some short-term goals for this site?
What are some long term goals for this site?
When would you like to have
this project completed?
What is the range of your budget?
When do you need this proposal by?
Additional Comments or Concerns:
How did you find us?

* = required fields. 

Don't put anything in the following field:  

Request a Quote for Web Design or Web Site Redesign

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