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© Webcoastdesign
1). What would you like us to do?
General Web Design Services
E-Commerce Related Services (By Selecting this answer you will need to answer the E-Commerce quote form below)
2). What type of Web site design services are you looking for at this time?
Design of an entirely new Web site
Complete redesign of an existing Web site
Maintenance or upgrade to an existing site
Enter your website URL:
3). Will you be providing any of the following content or materials to us?
Roughly how many pages?
If you know the names of the pages, please enter them here:
4). What is your total estimated budget for this website design project?
$300-599 $2,500-4,999
$600-999 $5,000-9,999
$1,000-1,499 $10,000+
5). Select which of the following applications you require:
Custom Home Page Design Email Blast for Regular Newsletter Distribution
Logo Design Directory DB
Spam Resistant Contact Form Ad Banner Management
Admin w/ Content Management, CMS Calendar/Events
Photo Gallery Membership/Login
Blog Flash Intro or Animation
6). When would you like the Web design project to start?
7). Please Provide a Reference Site or Sample Site that Best Reflects What you Like 'This is not a required field'
Enter url here:
8). Have you already registered a domain name and hosting for this Web site?
9). Please describe the intended focus of this site and any additional requirements you may have (e.g. advanced features needed such as streaming audio/video, database, secure pages, etc.)
Your Information
Name: Contact No.:
Email: Enter these digits into the box:
Name: Phone Number: Message:
Email Address: Your Interest:
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