Contact
Information
name*:
email address*:
your position/title:
legal company or organization name:
abbreviated form of company name you use:
address:
city:
state:
Select
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Alaska
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California
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Florida
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Washington D.C.
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Not Applicable
phone number:
mobile phone:
fax number:
Where did you hear about Small Web Solutions?
Project Information
select project type:
new
website
redesign of an existing website
Do you have a domain name? If so, please list it here:
If you do not have a domain name, list 2-3 domain names you
would like for your site, in order of preference:
be sure to include a top level domain designation,
such as .com, .net or .org
project budget:
desired completion date:
In order of importance, give a detailed
description of the top 3 goals you hope to achieve with your
new website:
List the pages you want to include on your site?
i.e., home page,
contact us, about us, products, etc.
List the web addresses of some of your
competitors:
Does your company have an official logo?
yes
no
If so, can you provide an electronic version of your logo?
yes
no
Please provide any additional information that will help us
determine the estimate for your site.
include any additional services you might need,
such as creation of website graphics, animated graphics, mouse-over
menus, guest books,
e-commerce, etc.