This
request form is for general Web site design services
|
*
First Name: |
|
Middle
Intials: |
|
*
Last Name: |
|
|
|
*
Address: |
|
*
City: |
|
*
State: |
|
*
Zip Code: |
|
Country: |
|
Home
Phone: |
|
*
Business Phone: |
|
Cell
Phone: |
|
Fax
Number: |
|
e-mail |
|
|
|
Company's
Name: |
|
Type
of Company: |
|
|
| Free
Quote Information - Website Only |
What
is the purpose of your site? (check all that apply)
Establish an online presence
Provide information
Provide customer service
Other (please specify):
|
What
type of site design services are you looking for?
(please specify)
|
|
If you are designing a new Web
site, what will you be providing to the Web site designer?
(check all that apply)
Copy/text
Images/graphics/logos
Layout
Site map
Nothing will be provided
|
Approximately
how many Web pages do you need created?
|
|
What
is your total estimated budget for this project?
Note: Anything under $1,000
typically covers only small and very simple site updates
|
Who will do your site updates?
|
|
When
would you like the project to start?
|
Please
describe the intended focus of this site and any additional
requirements you may have.
Note:
There is a 500 character limit for this answer. |
|
Optional
Information That Will Not Apply To The Free Quote |
Do
you have your own domain? eg. www.webprocreation.com
|
Will
you need hosting set up?
|
Will
you require an internet marketing stagedy?
|
What
type of web marketing stagedy would you be interested in?
Web Site Optimization
Search Engine Submission
Pay Per Click
Paid Inclusion
Other |
|
|
