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Request for Web Site Design
Please complete all fields marked with a *.
*First name
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Title
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ity
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tate/Province
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ax
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Web solution requested
(Check all that apply)
Complete site design
Alternate site version
Web site makeover
(i.e. Flash version)
Web site maintenance
E-commerce
Please indicatethe features you would like incorporated into your site
(Check all that apply)
Flash
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Custom Logo Design
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Back-end Database
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If you have a site, enter the URL
Approximate number of pages desired
1 to 5
5 to 10
10 to 15
15 to 30
more than 30
When do you want to begin work on this project?
Immediately
1 week
2 weeks
around 1 month
6 weeks or more
What is your budget range?
$0 to $500
$500 to $1000
$1000 to $1500
$1500 to $2000
$2000 to $3000
$3000 to $4000
$4000 to $5000
over $5000
Please list any additional comments about your needs or preferences including: deadlines, design requirements, or any other details about what you want to accomplish in this site.
Any extra details can help!
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