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Web Work Estimate

Please use this form for getting estimates on any website work you would like to have done.
For all other estimates, please submit a contact via the Contact Us page.

First Name
Last Name
Company / Business Name
Address
City
State
Zip
Email
Phone
Current Website
What best describes you?
Basic website needs?
Graphics?
Copy
Public features:
Member registration
Discussion forum
RSS feed
Google maps integration
Contact form
Site search
User upload files
How many total pages would you like in the site?
Provide link to a site you would like to model this site after
Provide another link to a different site you would like to model this site after
I also need...
Domain name registration
Web hosting
Email accounts
My approximate website budget is...
My timeframe is:
Additional Comments and Notes: