Web Design Estimate

Please take the time to fill out this small form to better serve you. Give us an idea on what you are looking for, so that we can give you a quote. Please no adult oriented sites. If you only have questions or comments please click here.

Contact Information
Please fill out the form completely in the order of which it applies to you so we can email, fax, mail, or call you with your quote.

Your Name

Address

City

State Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming Outside US

Zip Code

Your E-mail Address: Please Make Sure It Is Correct
(e.g.: you@yahoo.com)

Contact Phone No.  In case we can not contact you by email.

Fax No. In case we need to fax your quote.

Web Site Information

 Do You Have A Web Site Now?
 Yes or No

 Would You Like Us To Refresh It?
 Yes or No
 

 Web Pages (Pages Average $100.00 and up.)
 How many pages for text and images do you have in mind.

These are additional Page offers that you might want in your Web Package
(Forms @$100)
 Type-in Order Form / Print & Fill-in Order Form
 E-Mail Contact (Required info by e-mail) Mail Form / Questionnaire Form)
 Guest Book
 Message Board
 Link Page includes 10 links Any additional links $3 ea.
 Advance Link Page $100 setup fee / $20 hourly maintenance to keep updated.
 FAQ Page up to 6 FAQ.
 FAX Form
 Mail-in Form: Print then Fill in

Other Items you might want to add to your site:
 Direction Map ($50)
 Additional Images or Scan Photos (we offer small & large of $3)
Clickable Link for Guest Books
 Java Script-Scrolling Text
 Design Company Link Banner (for advertising on link pages or guestbook's) $30.00 up

Will You Need To Have Your Site Maintained?
 Yes or No

If Yes, Which Of These? 
 Monthly Quarterly Yearly

What Domain Name (Business Name/Web Address) Do You Have In Mind?
  .com .org .net .info Other

Please Describe Your Business or What Your Site Would Be All About?

Do you have any other comments?

How did you find us?  (Very Important To Us!)