Please Fax me your Design Proposal Sheet. I am ready to begin my project with in 30 days.

CONTACT NAME *

EMAIL ADDRESS *

PHONE NUMBER *

FAX NUMBER

COMPANY /ORGANIZATION NAME*

CITY, STATE *

What type of website do you require?

Will you need a domain name registered?

Yes
No, I already have a domain name which is:

Yes, we need website hosting
No, our domain name is already hosted

If you answered No to the above, please tell us you current hosting provider.

Briefly describe the services and/or products you or your organization provide.

What is your budget for this project?
-- SELECT -- $1,000 - $2,000 $2,000 - $3,000 $3,000 - $4,000 $4,000 - $5,000 $5,000 - $6,000 $6,000 - $7,000 $8,000 - $9,000 $9,000 - $10,000 $10,000 - $15,000 $15,000 - $20,000 $20,000 - $25,000 $25,000 +

Are there any existing websites that you would like to use as a guideline for your new website? This will help us to understand the style and image you would like to project.

Approximately how many pages you will need developed for your website? (Including Home Page, Contact Us, About Us, etc.)

Please tell us the Month and year you would like this project completed.
Month Year

How many products do you intend to sell online?

How many Product Categories does this represent

Will you need a merchant account for credit card processing?

Yes, we do not have a merchant account and will need this service.
No, we already have a merchant account and do not need this service.
If you answered no to the above question, or are considering a particular provider please tell us the name of that Merchant Account Provider.

If you need to a web site redesign/ make over, please give us the website address so we can review it.

Please describe what you want to change about this site (Colours, layout, new components etc).

If you have any additional comments that you feel may be important to help prepare your proposal or need any additional features not listed above, please enter them here. Tell us everything!