Request an estimate

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What is your business?*

How long have you been in this business?

What promotional materials do you already have? (Mention written and graphic materials such as business plan, brochures, logo, ads, newspaper articles, etc.)

Do you plan to write the content of the website yourself (with our advice and editing), or would you like me to do it starting from your materials and discussions with you?

Who is your competition? Refer to their websites, if they have them.

How many pages will your website have (best guess)? How many? 1-2 pages 2-5 pages 5-10 pages 10-20 pages 20-50 pages More than 50

Do you have product photos? Photos? None Some Lots All I need

Would you like me to do some photography for you? Choose one Yes No Maybe

My site will need (check all that apply):

Shopping cart - How many products? # of products 1 2-10 11-25 25-100 >100 Do you have a merchant credit card account already? Yes No N/A

Database capability (comments: )

Audio clips - How many?

Video clips - How many?

Forms (like this one) - How many?

Estimated start-up (first year) budget: $1000-1499 $1500-1999 $2000-3000 $3000-5000 $5000-10 000 $10 000-$20 000 More than $20 000

Give me the addresses of a few websites (a) that you like in terms of style, noting those aspects you would like to have in your own site;

and (b) that have a similar scope - size, interactivity - as your desired website.

Any other comments:

Your name*

Business name

E-mail address*

Confirm E-mail* (Type it again, please - I have lost contact with people who didn't type their e-mail address correctly!)

Phone number* ( ) * - * ext.

Town/City, Province/State/Country

How do you prefer I contact you?
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