Primary purpose of
your site (i.e., "sales", "online brochure", "email", etc.
Briefly describe the type of products
or business services you wish to offer:
Your name or your
firm name:
Do You already have a web site?
Yes
No
If you already have a
web site, do you want us to take over support?
Yes
No
Maybe
If you already have a web site and want
us to look at your web site to get an idea of what you want to replace or update,
please enter the URL:
If there is an
existing web site that would be a good example of the type of site you want, please enter
the URL:
About how many different pages
(screens) will it take to tell your story:
( your Home page, plus "x" # of pages )
About
how many graphic images will you want displayed on your pages:
Do you need a database for your list of goods
or services:
Yes
No
Do you want to take credit card orders via
your web site?
No
Yes
Do you want to take orders for your products
and do your own billing separately from your
web site?
No
Yes
Would you like help with the design of your
logo or other artwork?
No
Yes
Tell us anything else you think will be helpful
toward estimating the cost of your web site:
Your Name:
Your Email address:
If you want us to call you directly, enter
your area code and phone number:
Your TIME Zone
pick one
Eastern USA
Central USA
Mountain USA
Pacific USA
Hawaii USA
Other
Some of the fields above require you to type something into them. If, when you click on the SUBMIT button you get an error message, it is probably because you did not make an entry in a required field. Go back
to the field and make an entry, the re-SUBMIT the form.
NOTE: Your submitted information is held in confidence.
NOTE ALSO THAT THIS IS TO OBTAIN A PRELIMINARY ESTIMATE FOR CONSTRUCTING A WEB SITE, AND IS NOT LEGALLY BINDING ON ANY PARTY.
We are looking forward to a detailed discussion
of what you want to do.