Website Quotation

* Name
* Email
* Phone (xxx-xxx-xxxx)
City
State / Province - Select One - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Northwest Territories Nunavut Yukon Territory
Please only contact me:	Time:
Monday Tuesday Wednesday Thursday Friday Any Weekday	Morning Afternoon Night Any time Method: Please call me Please e-mail me
What do you need done?
New Website Design	E-Commerce
Flash Design	Shopping Cart
Upgrade Website Design	Search Engine Optimization
Database Programming
Other
Current Website (if applicable)
Briefly describe your business
Why do you want a website? (check all that apply)
To advertise & promote my business	To sell my products and services
To provide a helpful or community area	To promote a charity or needy cause
To develop a national presence	To develop a global presence
How many pages did you have in mind? - Select One - 1-5 6-10 11-20 More than 20
Who is your main target audience? - Select One - Business People and Professionals Women Men Teenagers and Young Adults Children Students, College, or Trade Schools Elderly Anyone / Everyone Other
Other
Will the website look:
Professional	Conservative
Colorful	Comical
Will the website have:
Message Boards	Email Blasts
Chat Programs	Flash Animation
For e-commerce, will your website need:
No ordering	Fully managed e-commerce solution
Simple order form for one product	Full shopping cart system
Calculating order form for multiple products	Real-time credit card processing
How many products will you be selling? - Select One - None 1-10 Items 11-50 Items 51-100 Items 101-250 Items 251-500 Items Unlimited
Questions or Comments?