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Professional Web Design Customer Inquiry Form
Your Name
Company Name
Address
City/State/ZIP
Email
Telephone
I am interested in
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New Website Creation
Revamp Existing Site
Flash Intro
Flash Album
Flash Project
Graphics Project
Logo Design
Web Hosting
Database Project
Other
Project Time frame
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1 Week
2 Weeks
3 Weeks
1 Month
2 Months
3 Months
4 Months
5 Months
6+ Months
ASAP
Project Budget
$
List your Purpose of or Expectation of the web site
:
List a few websites with a style that you like for your own website. Paste in the site address:
http://www.
Please list the menu items for your website (i.e. about page, services, store)
home page,
Tell us about your project, please be very detailed so that we can provide you with an accurate quote:
Will you sell products on your website?
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Yes
No
Do you need a domain name?
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Yes
No
Do you need web hosting?
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Yes
No
Which Plan
?
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Budget
Bronze
Silver
Gold
Undecided
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