QUOTE REQUEST
Site Information:

What type of site are you requesting?   New Redesign

How many pages would you like your site to have?

Current Requested Domain Name

Do you have an ISP to host your site?YES  NO

Do you have specific colors you would like to use?
YES  NO

Do you have a logo? YES NO

Include Flash on:
Intro Home page All pages

Do not include Flash.

Will your site need a database?
YES NO NOT SURE

List URL's for three sites you like:

Contact Information:

First/Last Name:
Company/Organization:

Address:
City: State: Zip:

Email:
Phone:
Fax:

Prefered Method of Contact:
Email Phone Fax

General Information:

Company/Organization Description:

Additional Comments/Questions:

   Budget (if any):           Project Deadline:
$     




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