* indicates required items
* Primary purpose of your site
* Briefly describe the type of products
or business services you wish to offer:
Your company 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,
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:
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 payments 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
Please tell us anything else you think will be helpful
in estimating the cost of building 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, then re-SUBMIT the form.
NOTE ALSO THAT THIS IS TO OBTAIN A PRELIMINARY ESTIMATE FOR CONSTRUCTING A WEB SITE, AND DOES NOT OBLIGATE YOU TO ANYTHING.
We are looking forward to a detailed discussion
of what you want to do.
