To receive a free web site design quote, please
fill out all of the information below. The fields marked with
"*" are mandatory.
First Name*:
Last Name*:
Email Address*:
City:
State:
Country:
Phone:
Website budget*:
- please select -
less than $1000
$1,000 - $1,500
$1,500 - $2,500
$2,500 - $5,000
$5,000 - $10,000
$10,000 - $15,000
$15,000 - $25,000
$25,000 - Above
educational program
-------------------------------
presentation
package $ 595 .00
ecommerce package
$ 795.00
ecommerce
deluxe package $ 1,295.00
Do you have a current website?*
Yes
No
If you have, please specify its address:
Do you have an idea on how many pages you want
the site to be?
Will you be supplying the text for the site?
Yes
No
Will you be supplying graphics for the site?
Yes
No
Will you need realtime secure order forms on the
site?
Yes
No
Do you currently have credit card merchant accounts?
Yes
No
What is your time frame for web site design/redesign?
Please provide a description of your project.*
Does your company have a logo?
Yes
No
Samples URLs you like*:
Sample URLs of competitors*:
Web Site Add-ons:
E-Commerce
Flash technology
Streaming
Web Based Tools
Online Forms
Database Connectivity
Video Conferencing
Chatroom(s)
Please specify how you found our site:
- please select -
Altavista
Excite
Goto.com
Hotbot
Internet Yellow Pages
Lycos
MetaCrawler
Msn.com
Netscape
Webcrawler
Yahoo
Cebit
Biz magazine
CNN
Friend
Banner
Other
Other:
The information will be carefully reviewed by our staff. You
should receive word back shortly.