Web Design Form

Please feel free to fill out the following form to get a design quote. You will not be charged or billed for anything until we discuss the project and get a signed form saying you agree with the contract. If money is an issue, please still fill out this form and put that in the notes. We are very flexible and are willing to work on any budget.

First Name:
Last Name:
Phone Number:
E-Mail Address:
Please List a Website You Like:
Why?:
Please List a 2nd Website You Like:
Why?:
Please List 3rd Website You Like:
Why?:
Please List a Website You Don't Like:
Why?:
Please List a 2nd Website You Don't Like:
Why?:
Please List 3rd Website You Don't Like:
Why?:
Please List a Color You Would Like For Your Site:
Please List a 2nd Color You Would Like For Your Site:
Please List a 3rd Color You Would Like For Your Site:
Where Would You Like Navigation Bars to Be?:

Ex. Top, Left, Right, Bottom, Top-Left, Middle, Top-Right...

Do You Need Spots for Ads? If So Where?:

Ex. Top, Left, Right, Bottom, Top-Left, Middle, Top-Right...

Please List the Categories, Pages, and Respective
Titles of Each Page You Will Need:
Attachments:

Please Attach Any Word or Image Files You Would Like Us to Look At.

Notes/Comments:

After You Click the "Submit Form" Button Please Wait
30-60 Seconds for the Form to Submit. Thank You Very Much.

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