| * Your Name |
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| Email address |
A copy for your records, of this original quote request will be sent to you at this address. |
| Company / Organization Name (if applicable) |
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| Street Address |
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| City |
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| State |
Zip
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| Telephone |
Day
Eve
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| Fax |
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| * Please contact me, and send quote via |
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| Other, or best time to call |
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| What type of service are you looking for? |
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| Is this for Internet (public) or for your company's Intranet? |
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| If applicable, per above, my current site is at |
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| Will you be providing any of the following? (check all that apply) |
TEXT FILES
HTML/CSS, LAYOUT or TEMPLATE
IMAGES/GRAPHICS
Nothing will be provided. |
If you don't already have a domain name, what are your choices? Try to come up with at least 5; list them here in order of preference, and I'll check to see which are available and with which extensions, (.net, .com, etc). Example: thebikesite; thebikestore; mybikesite, and so on. |
| Preferred Domain Names: |
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| Which best describes the purpose of your site? |
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| Will the site need password access protection, or otherwise are there any specific security issues to addressed (excluding e-commerce)? |
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| Will you need feed-back or registration forms and/or surveys on the site? |
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| Would you like live chat room(s) on your site? |
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| Would you like a guest book on your site? |
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| Would you like a message board on your site? |
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| Would you like a weblog / blog on your site? |
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| Would you like a photo album on your site? |
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| Do you want or need shopping cart and e-commerce on your site? |
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| Will you or other(s) be taking on a role as the primary site administrator(s) for required maintenance and subquent content additions or modifications? |
Note... If you do not have primary administrator, subsquent maintainance and content changes are additional costs, and are quoted per occurence. |
| How many pages do you think your site will need? |
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| Are there certain web styles which you're very fond of and would like similar? If so, please list the URLs (site addresses) here. |
| Favorite or similar sites: |
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| Do you need a custom logo designed?: |
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| Do you need on-location photography of your business location or
for product images, or for a general photo album?: |
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| What is your estimated budget for this project?: |
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| How soon do you need a quote delivered?: |
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Please describe in more detail, the intended focus of this site and any additional requirements you may have. |
| Details / Message: |
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