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Your Name:
Company Name:
Email address:
Phone Number:
Website URL (if you have one):
Referred From:
What do you want a quote on?
Please select one...
Logo Design
Designing a Web Site
Re-Design a Web Site
Create Custom Graphics
Modify Existing Graphics
Other
Approximate budget for this project?
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Type of web site
Personal
E-commerce
Educational
Other
What would you like done:
Create a new web site.
Redesign a current web site.
Other.
Number of pages (estimate):
Complexity level of web site/graphics:
Please select one...
Basic
Medium (some custom graphics)
Advanced (custom images & interactive)
Are there any pictures to be scanned?
Yes
No
Any specific colors to be used
in this project?
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Any additional questions, comments, or requests. Please include any special features that you would like to see done on the site (eg. audio, guestbook, etc.).