Please fill out the form as completely as possible. Not all questions need to be answered, but the more detailed the information you provide, the more accurate the estimate will be. I can design a site to suit virtually any budget, and satisfaction is always guaranteed.

Full Name:
Email Address:
Current Website Address (if any)
Are you interested in a new site or the redesign of an existing site?	New  Redesign
What is your proposed budget?	$100 to $300 $300 to $600 $600 to $1,000 $1,000 to $3,000 $3,000 to $6,000 $6,000 to $9,000 $9,000 to $15,000
Being as descriptive as possible, tell me what you are looking for in a website. What do you hope to accomplish? Who do you want to target?
Do you have an existing Domain?	Yes  No
If not, name your top three choices for a new domain name.
What are your favorite colors?
Please provide me with the addresses of five sites that you like for their layout, style, color schemes, etc.
Which of these features do you want on your site?	Guestbook Counter Shopping Cart Chat Room Other
Use this space to add any other information that you think would prove to be helpful in providing you with a cost estimate.

  

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