August 28, 2008   
 
 
Please fill in the information below and submit it to us. Once submitted, we will review your information and contact you shortly.
Contact Information     (* indicates a required field)
Title
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First Name
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Last Name

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Company Name
Phone
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Fax
Email
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Address
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City
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State
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Zip
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Project Information    (Please answer as many questions as possible. You do not have to answer all of them. The more questions you answer the more accurate of an estimate we can send you.)
 
Please describe this project as thoroughly as possible.
 
 
 
 
Do you have a domain name?
 
 
 
 
If yes, please enter your domain name. If no, please enter domain name desired. You can check domain name availability and also purchase a domain name through DomainViking.com. If you do not want to worry about buying and renewing your domain name, we can manage the domain name for you for $1/30 days.
Domain Name
 
 
 
Do you want us to set you up with a hosting account?
 
 
 
 
Do you have an existing logo that can be provided?
 
 
 
 
Do you have a soft copy of the logo that you can email to us?
 
 
 
 
Please list each page that you want on your website. Typically an informational website will have the following types of pages: Home, About Us, Products, Services, Contact Us, policy related pages, and any other pages that would work well with your particular industry.
 
 
 
 
Do you have pictures that you can provide (possibly of your business)?
 
 
 
 
Will you require a form on any of your pages that can be filled out by website visitors and submitted to your email? If yes, please list the pages that require this and how many form fields each page will have.
 
 
 
 
Did you have any particular colors or a theme for the website that you had in mind (company colors are helpful)?
 
 
 
 
List the URLs of any websites on the internet you like in particular. The best way to get an idea of what you like and are looking for is to see examples of websites that appeal to you. This can include websites of competitors or websites that are completely non-related to your website, but you like the design of. Please only forward websites that can help point us in the direction you want to head in with your website.
 
 
 
 
Do you plan on selling products through your website?
 
 
 
 
Do you need a shopping cart to handle multiple products?
 
 
 
 
How do you want to process payments on your website?
 
I don't want to process payments on my website.
I want to process payments via Paypal.
I want to process credit cards directly on my website.
I want to process payments via phone.
 
 
 
Any other information you would like to provide that may help us give a more accurate quote.
 
How did you hear about us?
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