Website Quote Form

*Contact Name:
Company Name:
*E-mail address:
*Confirm e-mail address:
Phone number (optional):	i.e., (555) 555-1111
What is the best time of day to reach you?

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                        1. Which type of website are you interested in? Complete Custom Customized Pre-made Build my own

                        2. If so, do you already have an existing website? No Yes    (If "No", please go to question # 3.)
                                  a. Website URL:
                                  b. Are you looking to replace this website with a new one?                                        ----------------- Please select -------------------- Yes, I would like to replace my current website. No, I want a new website for a different domain or purpose. I'm not sure yet.

                        3. Indicate the type of business industry you need the website for:
                             If for personal use, just type in "Personal Use"
                                               

                        5. How did you hear about us? (Check all that apply.)
                                Friend
                                Co-worker
                                Flyer
                                Newspaper Ad
                                Search engine
                                Another website
                               Other    Please specify:


                        6. Please indicate any additonal comments or special requests
                             (i.e., color preferences, special effects, etc.):
                                              

                        7. How soon would you need this website completed? ----------- SELECT ----------- ASAP (within 48 hrs) Within a week Within 2 weeks Within a month Within a couple of months Within a year Not sure yet

      

Please allow up to 24 hrs for a response. Thank you!