Free Website Design Quote

Company Name:
Your Name:
Email Address:
Phone Number:
Do You Have a Current Domain/Website address? If not please list your top 3 choices YesNo
Are you in need of hosting for your website? YesNo
Project Start Date:
What is the purpose of this site?
Who is your target audience?
What is the nature of your business?
Does your company have a logo that you would like to use? YesNo
Do you have any photos that you would like to use in the site? If so approximately how many? Yes No
Estimated Number of Pages in site:
Will your site require any ecommerce or a shopping cart? Yes No
Would you like the site set up in a content management system? Yes No
Do you want any flash animation on your site, if so please describe what you might want? You may use examples from other sites
Color Scheme, Do you have any colors in mind for your site?
Will your site require regular updates? Yes No
Please give addresses of any sites that you like and reasons that you like them, or features that they have that you like
Any additional information that may be helpful?
How did you find us? Was it a link or search engine? If so from where or which search engine? We appreciate your answers as it helps with our marketing.
Security test. Please identify the pictures:

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With Web Design, it can be very difficult to determine what someone would like or have in mind. This form better helps me to determine your needs and give you an free estimate.

If you would feel more comfortable talking over the phone, please feel free to call me at (563) 505-8761. This is my cell phone, so if I do not pick up please leave a message and I will call you back.

Thank you,

Code 9 Design Owner
Justin Hawker
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