| Your Name: | |
| Business or Organization: | |
| Address: | |
| City, State, Zip: | |
| Telephone: | |
| Email: | |
| Please contact me with my estimate by: | Email Telephone |
| Please describe what your web site will be used for? | |
| What pages do you anticipate your web site to have, such as Home, Contact Us, etc.? | |
| Please describe what you desire your web site to do with as much detail as you can? | |
| Do you have a domain name? If yes, please provide the name. | |
| Our estimate will anticipate that you will be hosting your web site on our recommended hosting service... is this ok w/ you? If not please explain. | |
| Will you need our assistance in setting up email accounts for you? | |
| Will your web site need a database? If yes, please describe. | |
| Will your web site need a photo album? If yes, please give details. | |
| Will your web site need any special features, such as a bulletin/discussion board, chat room, list serv or other special service? | |
| Do you desire to sell items on your web site or collect fees or donations, if yes, please describe how many and details? | |
| Will you be collecting any information from visitors such as their social security number, credit card number or other private personal information, describe? | |
| How many email accounts do you expect to use, and please describe? | |
| Will your site enable the downloading of any files, if so please describe? | |
| Will your web site require the uploading of any files by visitors, if so please describe? | |
| Please provide us with any additional details that you feel will help us in determining the most accurate estimate that we can? | |
