Website Design: Short Form Bid

General Contact Information

Name: *

Business Name: *

Phone Number: *

Cell Phone:

Email Address: *

City: *

State / Zip: *

Website Strategy

Why do you want a new website, or to have your current site redesigned?

What is the purpose of your website? (ie - Organizational/business info? Sell products or services?)

Projected Budget

What is the anticipated budget for this project?*

Timeline

How soon do you need the site up and running?

Customer/Client Interactivity

Please check any additional options that you would like to include in your website.

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