FlagstaffConnection.com

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Design Quote Request Form

Personal Information

Name/Company Name:

Email Address:

Address:

City:

State:

Zip Code:

Phone Number:

Fax Number:

Domain & Hosting Information

What is your Budget?

Type of work

New Design Re-Design

Do you have a Domain?

Yes No

Do you have Hosting?

Yes No

Site Content Information

What Pages do you envision being in this website (ie. home, about, contact, links, etc.)?

Is there anything specific that you want your vistors to be able to do in this site?

Is there anything specific that you would like to be able to do in this site?

Graphic Design Information

Do you have a graphic designer selected to create the graphic look and feel of your new website? Yes No - I need FlagstaffConnection to do it for me.

E-Commerce Design Information

Do you want to incorporate e-commerce, either an email order form, shopping cart, or the like? Yes No

Database Design Information

Do you want to incorporate database features (ie. product catalog, reservation or registration forms, mailing lists, web applications, or the like? Yes No

Security Image information

Security Image:

Please enter the number you see in the box below

captcha

Form INstructions

Every website that we create is customized specifically to you and your businesses needs.

The cost of your particular website can vary greatly, depending on complexity and desired features.

Consequently, we ask that you fill out the following form, so that we may provide you a personalized quote for your website.

The form below has several questions that will reveal more questions.

Please try to fill out the forms as completely as possible, as your answers will give us the necessary information to give you a complete and accurate estimate for all of the website services.

Once we recieve your request, we will respond to you within a day or two, with an estimate personalized for your needs.

Thanks for your request and interest in FlagstaffConnection.com. We look forward to working with you on your new website project.

Contact us Today!

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