quote request form

web design:
  1. What type of website design services are you looking for at this time?
    Design of an entirely new website
    Complete redesign of an existing website
    Other (please specify):


  2. Type of Business (what service or products do you offer?)
  3. How long have you been in business?

  4. Will you be providing any of the following content or materials?
    (check all that apply below)
    Yes - We will provide copy/text for our website
    Yes - We will provide images/graphics for our website
    Yes - We will provide layout/site map for our website
    Yes - We will provide audio/music for our website
    No - We are looking for help with every aspect of our website

  5. How many pages will your web site consist of?
    1
    2 - 3
    3 - 5
    5 - 7
    10 +
    Other (please specify):


  6. What is your total estimated budget for this website design project?
    $

    *Please be aware that most simple websites typically start around $600-$800. Any additional functionalities and/or increases in the size of the website will increase the budget required.
  7. How do you want to handle ongoing website maintenance?
    Not sure - Please advise
    Yes - We would like the supplier to handle ongoing maintenance
    No - We would like a third party handling ongoing maintenance
    No - We will handle ongoing maintenance ourselves

  8. When would you like to have this web design project completed?
    ASAP
    Within two weeks
    Within one month
    Within two months
    More than two months
    Specific date (please enter):


  9. Have you already registered a domain name for this website?
    Yes
    No

  10. Have you already arranged for hosting services for this website?
    Yes
    No

  11. If you are looking to upgrade or redesign your current website, please indicate URL:

    (i.e. www.mywebsite.com)

  12. Similar sites.
    If there are any websites that appeal to you in design and/or functionality that you would like to have for your own site, please list URL below:





  13. Please describe the intended focus of this site and any additional information..
  14. Please fill in the information below to complete your request and receive your customized quote. Rest assured, I will only use your contact information to deliver your quote.

    Name:

    Company/Organization:

    Address:

    Address 2:

    City:

    State/Province:

    Country:

    Zip/Postal Code:

    Phone:

    Fax:

    E-mail:
    Preferred method of contact: