contact - request form

 Presence on the web with a personal touch

By filling out this questionnaire you are giving me a clear idea of what you want.  I will try to make it as easy as possible (and short)...

Please answer each question as accurately as possible.  If you already have project details in a file, please submit it here:


       

 

        Please provide the following contact information:

First Name
Last Name
Title
Organization
Work Phone
FAX
E-mail
URL

 

Project Info

 

Please select the services you are requesting...

 

Template Design 

Basic Website  

Flash Intro
E-Commerce site   

Customization
Redesign Existing Website         

CMS Website                

Other (write details in project      specification field)

 

Do you have domain and hosting for your website?

 

Please specify URL

 

Please specify websites similar to your business that you like.  Add comments, if you wish.

 

Link(s)

 

Explain your project and requirements with as much details as possible.  If you already have documentation ready you can upload the file(s) above. 

 

Project specifications

 

 

Budgeting & Time Frame

 

Your budget dictates how much time we can devote to your project.

 

Please choose your project budget 

 

When do you need the project to start and when do you need the project to go live?

 

Time frame 

         










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