Please fill in information below to allow us to customize quote. If you have a pre-existing site and are looking for updates only, you can skip to section #3. If you have a simple question or comment you may use our regular contact form.

Your privacy is respected, therefore your email address will be kept strictly confidential, and will be used solely for the purpose of contacting you with regard to business relating to this website.

Your Name:			* Required
Company:			(can also be band, church etc)
City/State			* Required
Your Email:			* Required
Confirm Email:			* Required
Phone			please contact me by: eMail Telephone either option is ok please choose an option
Please tell us the best time to contact you:

 

How did you hear about us?		Web Search Referral Craigslist Print Ad in Paper other please choose an option
If other or referral, please describe:

 

 

1. What sort of Project will it be?
	New website for a new company		Revamping of an existing website
	New website for existing company		Please enter existing site URL:
	Maintenance of existing website

 

2. What type of website are you interested in?
	A simple 'brochure style' website also knows as 'static'
	A 'brochure style' with additional multimedia features
	A Blog Only (i.e.; Wordpress, Blogspot, etc)
	A site that allows you to upload/ edit your content (Dynamic/CMS)
	An eCommerce website (online store)
	A band/entertainment website (music, calendar, photos etc)
	A community or dating site (Myspace, Match.com, etc)
	Corporate or Company Website

 

3. Approximately how many pages will your site contain?

1 - 5 5 - 10 10 - 20 20 - 40 40 - 99 100+ 150+ 200+ not sure yet

 

4. I am interested in: (select all that apply)
	Traffic Analysis		Mailing Lists		Mp3 Players
	Forums		Site Searching		FTP Uploads
	Blogs		Client Tech Support		Flash Headers
	Classified Ads		Online Calendars		Embedded Videos
	PayPal Sales		Photo Galleries		Banner Management
	Stock Tickers		Multiple Forms		Databases
	Real Estate Portal		Favorites Book-marking		MIDI
	Chat Windows		Kids Games		Product Rentals
	Instant Messenger		Financial Tools		Knowledge base
	Polls & Surveys		Travel Tools		Login Access
	Receive Funds		Content Management (CMS)		Ticket Sales
	WhiteBoards		Shout Boxes		Video

 

5. When would you like this Web design project to start?
	ASAP		Within a month		Not Sure

 

6. Will you need hosting?
	Yes, I need Website Hosting provided
	I already have an account I manage (please include below)
	We lost the log-in a long time ago (please include below)

 

8. Have you already registered a domain name for this Web site?
	Yes (please include below)
	No but I will get one before work begins.
	No, I will need your assistance.

1. Please enter the URL of the website

2. What type of updates are you in need of?
	I have a web site but need quality hosting.
	I just a couple minor changes one time.
	Our contact page doesn't work or needs changed.
	I have several small changes overall.
	I have multiple changes needed over the entire site.
	I need someone to update the site weekly.
	I need someone to update the site monthly.
	I need irregular but ongoing maintenance.

3. Please include any other important information or details (Updates or Full Site):

 

I understand that I will be contacted with a general price range only and that a quote does not represent the final fees of this or any project. I am aware that hourly design charges during the creative process can vary sometimes slightly, sometimes greatly depending on my desire to make changes, to incorporate new items or to view several variations of a theme.
	Please enter the text below in the box to the left.
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