| Your Name: |
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| Business or Organization: |
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| Address: |
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| City, State, Zip: |
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| Telephone: |
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| Email: |
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| Please contact me with my estimate by: |
Email
Telephone |
| Please describe what your web site will be used for? |
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| What pages do you anticipate your web site to have, such as Home, Contact Us, etc.? |
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| Please describe what you desire your web site to do with as much detail as you can? |
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| Do you have a domain name? If yes, please provide the name. |
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| 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. |
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| Will you need our assistance in setting up email accounts for you? |
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| Will your web site need a database? If yes, please describe. |
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| Will your web site need a photo album? If yes, please give details. |
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| Will your web site need any special features, such as a bulletin/discussion board, chat room, list serv or other special service? |
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| Do you desire to sell items on your web site or collect fees or donations, if yes, please describe how many and details? |
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| Will you be collecting any information from visitors such as their social security number, credit card number or other private personal information, describe? |
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| How many email accounts do you expect to use, and please describe? |
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| Will your site enable the downloading of any files, if so please describe? |
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| Will your web site require the uploading of any files by visitors, if so please describe? |
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| Please provide us with any additional details that you feel will help us in determining the most accurate estimate that we can? |
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