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.

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If you currently have a website,
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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
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What type of pages will your site require?  Please select one or more.
Home/Introduction page Service page About Company page Product Info page
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Do you have a web ready logo?
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Database Integration:
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What type of "image" do you want your website to convey?:
Conservative Corporate High-Tech Clean-Fast Load For Children
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Please enter any other information that may help us with your quote:
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