Mail Request to:
Our mailing address and telephone number are currently available by request only.

If you would like to receive a free quote via this web site, please fill out the form below. We will return your call or email you as soon as possible. Thank you!

Printable version

Your Name:

Email Address:

Company Name:

What Type of Site?
(personal or commercial)

Phone Number:
(include area code)

How did you hear about us?


How would you like to receive your quote?
Email Phone

Will you need a "New" web site, or a "Re-Design" of an existing site?
New Re-Design

If you are in need of a re-design, what is the URL of your site?


List at least 3 web sites that are appealing to you:
(only used by us for the idea of the layout style you like)






Do you need a domain name registered?
Yes No
Do you need web hosting for your site?
Yes No

Do you have a logo for your business?
Yes No
What format is the logo?
(jpeg, gif, bmp)


Do you have the content ready for the site?
(text)
Yes No

Do you have photos for the site?
Yes No
If yes, what format are the photos?
(jpeg, gif, bmp)


How many pages do you anticipate the site having?
1-5 pages 6-10 pages
10-20 pages 20+ pages

Do you need your site submitted to search engines?
Yes No

What items will you need?
(check all that apply)
Email Form
Shopping Cart Web Site
HTML Code Error Corrections
Greymatter Blog Set up
Java/Rollover Buttons
Message Board
Audio
Other
(other - please explain in box below)


Additional Comments/Questions:
(information that might be useful for the quote or design)










5 Page basic web site "now" only
$350.
Special Includes

up to 15 images/pictures inserted,
unlimited text, custom email form for feedback, help registering a domain name and locating the right web hosting provider.



Copyright © Sueann Jackson & www.dare-to-design.com