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We Recommend:
DirectNic.com

May 2008

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Please be as detailed as you can be when completing the form. Every little bit of information you provide will help us to create a website that you will be happy with. The information we learn from this form, together with the site materials you send us will enable us to quote your project price accurately, and build the successful website you deserve.


Contact Information
Your Name: 
Company Name: 
Street Address: 
 
City: 
State/Province/County: 
Zip/Postal Code: 
Phone Number (Optional): 
Email Address: 


Website Information
What type of design project do you need?


If this project is a redesign of your existing website, please provide the URL:


If you have a domain name, please enter it here:


What is the main purpose of your website?
Please be as detailed as possible.
(sell products, provide services, provide information, etc.)


Give the address (URL) of three websites you have found
whose colors and general "look" reflect your tastes.
1. 
2. 
3. 
Is there any other information about your project that you think
we might need to know? Please be as detailed as possible.


Your price quote will be based on the information you provide in this form and our review of your website materials. We will contact you to discuss your project in more detail.

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