Custom Web Design Work Sheet for Quote

Please fill out the following form to help us determine what your needs are and what areas to consider prior to the price quote. Please answer all of these items to the best of your ability.

All quotes are valid for 30 days.

What contact method do you prefer?
Are you needing a redesign or a new website?New website
Redesign
What is the purpose of your site? Please check all that apply?Bring in new clients/customers
E-commerce
Educational, training or instructional
Extend market reach
Informative
Starting internet presence
What is the nature of your business?
Do you have a logo? Do you need a logo? Logo redesign?
Do you have existing material for your company, product/idea in the form of brochures, pamphlets, CDs, videos, flyers, etc? If yes, please explain:
Do you have a domain registered? If yes, what is the domain? (www.yourdomain.com)
Your name: *
Company address:
City:
State:
Zip:
Phone: *
E-mail Address: *
Additional comments or questions:

Verification Code:
Enter Verification Code: *

* Required

Phone: (901) 628-6026 · Email: henry_ashley@bellsouth.net