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CONTACT INFORMATION
Name:
Company Name:

Street Address:

City, State, Zip:

Phone Number:

Email Address:

QUESTIONS ABOUT YOUR BUSINESS
Briefly describe the products your company offers.

Briefly describe the services your company offers.

Do you have a logo?

Yes No

Do you currently have a website?

Yes No

If yes, what is the URL?

SPECS FOR YOUR WEBSITE
What type of site design services are you looking for?

Design of a new site
Maintenance of or upgrade to an existing site
What will be the purpose of your website? (Please check all the apply)

To establish an online presence
To provide information
To provide customer service
To sell products or services
When would you like the project to begin?

ASAP
In two weeks
In one month

What is the budget for this project?

Approximately how many web pages will you need created?

Who will do site updates?

In house your company
An outside design firm
Not sure

How many email addresses will you need?

Will you need a shopping cart?

Yes No

Will you need a secure area with user names and passwords?

Yes No

Will you need a domain name registered?

Yes No

If not, what is the URL?

Will you need web hosting?

Yes No

Additional comments or requirements?

Submitting the website quote request is not a contract for work, it is simply a request for an estimated development quote.

Please enter as much information as possible. We will respond as quickly as possible with a project cost based on the information you supplied. If more information is needed, we will contact you.

After you receive the estimate, if you'd like to proceed further, we can meet in person to establish your website marketing strategies and design layout.

Feel free to phone me at any time to discuss website development or for a quote for any other service. 518.697.0288
suzannetrevellyan.com