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Your Company:
Contact Name:
Address:
City:
State:
Zip:
E-mail:
Phone:
E
xt:
Preferred Contact Method:
Telephone
Quote me via email
Type of Services Needed
I need a Web Site:
I Have a Graphic Design project:
Photography:
Logo Design:
Project Description:
Web Development
Number of Site Pages
(including Home Page):
Interactive Forms:
Yes
No
-
How many?
Email Addresses:
Yes
No
-
How many?
Do you need Flash Animation?:
Yes
No
If Flash animation is desired, please describe:
Do you need a Domain Name?
Yes
No
(Example - www.yourbusinessname.com) ($20.00 per year)
Desired Domain Name:
Do you need Hosting?
Yes
No
Hosting Type:
Basic Hosting Plan ($120.00 per year)
Standard Hosting Plan ($180.00 per year)
Advanced Hosting Plan ($360.00 per year)
E-Commerce Needed?
Yes
No
If yes,
How many products?
Shopping Cart Type:
Paypal
...
Full Service
Other Features Needed:
Discussion Board
Email Marketing Program
Parked Domain
(Parked domains allow a second domain name to point to your web site and require the advanced hosting plan)
Do you have photos?
Yes
No
Do you need us to shoot your product photos?
Yes
No
Please choose a Maintenance Package?
Unlimited Growth ($2,000.00 per year)
Annual Plan ($1,000.00 per year)
Monthly Plan ($100.00 per month)
By Request only ($50.00 per hour)
Have you ever
had a Web Site?
Yes
No
If this site is still active, please provide the URL:
What is your time frame?
-Select-
1 Month
2 Months
3 Months
6 Months
No Hurry
(A typical web project takes 4 to 6 weeks)
How did you
hear about us?
-Select-
Google
Yahoo
MSN
Satisfied Client
Word of Mouth
Other Search Engine
Please specify:
Please add any comments that will assist us in bidding your design project:
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