the computer geek

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quote request form


For a FREE ESTIMATE, please fill out the following form and we will get back to you with your free estimate.  All information is kept confidential.  We do not resell names or email addresses.


Please fill in as much of this form as possible so that we can provide you with an accurate estimate.


Your email address:
contact Name:
phone Number:
If you currently have a website,
please enter the URL:
 
Please indicate the service that you would like a quote on:
Web Site Design Site Redesign Site Update Maintenance e-commerce options
Web Data-base Options Custom Graphics Site Promotion  
 
How many pages do you anticipate?:
4 - 10 pages 10 - 20 pages 20+ pages
 
Will you be needing an e-commerce/shopping cart?
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Will you be needing hosting services?
Yes No
 
What type of pages will your site require?  Please select one or more.
Home/Introduction page Service page About Company page Product Info page
Contact Us page Order Form page FAQs page Links page
Accounts page General Info page Forum page Portfolio page
 
Do you have a web ready logo?
Yes No
 
Database Integration:
No Database Some Database Complete Database integration
 
What type of "image" do you want your website to convey?:
Conservative Corporate High-Tech Clean-Fast Load For Children
Colorful Bright Warm & Friendly Artistic Soft Flash
 
Please enter any other information that may help us with your quote:
 
How did you find us?
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You will be contacted within 24 hours!

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