Please fill in this form for a FREE quote.
You are under NO obligation by filling out this form. This is not an actual order, just a questionnaire for giving you a free quote.


  
  Your Name:*

Your E-mail Address:*



  
 
  Is this for a NEW website design or for a "face lift" of an existing website.
 NEW      Facelift

If this is for a NEW website design, will you be wanting your own domain name?
(www.yourname.com)
 Yes      No

Do you have your "Domain Name" registered already?
 Yes      No

What type of "Image" are you wanting your website to convey? Please select one:



Please select one which describes the "budget" you had in mind for your website:



What type of information will you want to include in your website?*
Please select one or more:

 Home/Introduction Page
 Service Information Page/Pages
 About your Company Page
 Product Information Page/Pages
 Page containing on-line order form
 Page containing on-line subscription form
 What's New Page of Your Website Updates and Announcements
 FAQs Page for Your Viewers
 Tips, Hints or Useful Information Page/Pages
 Contest Page/Pages
 Awards You've Won Page
 Links to Related Businesses Page
 Contact Details Page
 Comments Form Page for viewers to send their comments to you
 Database driven web site
 Shopping Cart
 News letter management tool
 Other (please describe below:)

If "Other" selected, please describe here...



What "keywords" would describe your website? (list up to 20 & use commas)*
You can simply indicate nature of your business here.



Will you need space on the Internet to "host" your website?
 Yes      No

Will you want custom graphics for your website?
 Yes      No

Will you want "animated" graphics?
 Yes      No

Will you need a logo and banner design?
 Yes      No

Will you need someone to "update" your website periodically?
 Yes      No

If yes, will you need the updates:
 Daily   Weekly   Monthly 

Will you want promotion done for your website?
(submission to search engines, online marketing)
 Yes      No

Is there anything that have left out of this questionnaire that you would like to include?
Please add below:





We will contact you through the e-mail address you provided above.