Company Information

Name:*

Company Name:

Email Address: *

Phone: *

Preferred Contact Method:

Please Select Method Phone Email Fax

Time Zone:

Select Zone Eastern Central Pacific Hawaii Other

Current Web site?

Design Evaluation

Estimate is for:

New Web Site Only
  Existing Site Redesign
  Existing Site Maintenance
  Existing Site One Time Update Only
  Web Site - Web Hosting - Domain Name
  Web Hosting - Domain Name
  Web Hosting - Only
  Domain Name Only

Logo Requirement:

Existing Logo-Will Supply
Logo Redesign for Site
Need Custom Logo

Content Requirement:

Shopping Cart-Need  Merchant Account
Shopping Cart-Need 3rd Party Processing
Message Board-Forum
Guest Book
Chat Room

Text Content:

I will provide all text copy via email
I need someone to write all text copy
I will provide text but will need editing

Web Site Maintenance:

I will provide maintenance myself
I need a content management program
I need maintenance provided

Number of Pages:

Please Select One 1-3 3-5 5-7 7-10 10 or more Not Sure

Color Scheme - Layout:

I have specific color scheme-layout
I have specific color scheme-no layout
I need help with color scheme
I need color scheme and layout ideas

Project Start Date:
Project End Date:

Project Budget:

Please Select One $199-$300 $300-$500 $500-$1,000 $1,000-$1,500 $1,500-$2,000 $2,500-$3,500 $3,500-$5,000

Please List 3 Similar Sites:

Please describe in detail:
Type of business and what you expect your Web site to achieve.