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Name: *

E-Mail Address: *

Contact Information

Company: *

Phone Number: *

Project Information

*Just hold down your control key and click as many options as you like *

Type of services: *

Select as many as you need Design of a brand new site Complete redesign of an existing site Maintenance or upgrade of an existing site E-commerce website Search engine optimizatiwo (SEO) Social netowrk design Custom logo design Social media marketing Link building Content marketing

If you have a website. please indicate the URL:

How many products (SKUs) do you sell: *

Select one We are not selling products 1-24 25-99 100-999 1000-4999 5000-19000 20000+

Project Budget: *

Select one $500-$1000 $1500-$2000 $2500-$3000 $3500-$4000 $4500-$5500 $5500-$10000 $10000-$15000 $15000-$20000 $20000-$30000 $30000-$40000 $40000-$50000 $50000+

Domain Name Registration:

Select one I need a domain name registered I already have a domain name I am not sure please contact me

Website Hosting:

Select one I need webhosting I have web hosting I am not sure yet please contact me

If E-commerce site. What functionality are you looking for in the design of your eCommerce website?

Select all that apply:

Bulk uploading of products
Catalog search
Credit card processing
PayPal integration
E-mail notification/invoices
Inventory management
Multiple shipping & sales tax options
Order/customer tracking
Secure checkout & order processing

Project Start:

Select One ASAP 1-2 Weeks 2-3 Weeks 3-4 Weeks 4+ Weeks

Other websites that match the design and/or functionality you want for your website:

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3.

Be descriptive and clear, list all design and/or functionality requirements and additional notes or comments that you feel are important to know in the Quote and design process:

Please describe your project. *

Website Addons:

CMS - Website Editing
Newsletter Management
Feedback Forms
News/Article Posting
Application Forms
Polls & Surveys
Community Forum
Photo Gallery
Classifieds
Tell-A-Friend Feature
Call Back Forms
User/Password Logins
Bulletin/Message Boards
Website Search
File Uploading
Google Maps/Directions
IP Recorder on Forms
ID Verification on Forms
flash Headers
Blog
Cross-Selling
Bilingual Text
Live Support

Other:

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