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Web Services Inquiry & Order Form
[View Web Design Examples]
Please complete & submit the following inquiry:
Website Design
Disclaimers: This list may not include every service available. These prices are estimates and subject to change without notice. Design costs may be altered based on the amount of content and web-ready graphics that the Client can provide the Designer. Additional costs will be required for implementing special features or programs.
Describe the purpose of your site [check all that apply]:
Informational Sell Products Promote Services Other
Describe your target market [check all that apply]:
Adults Children (under 18) Primarily Women Primarily Men Any Local...within 100 mile radius Domestic Worldwide
Do you have any of the following to base the web site design on?
Yes, I have [check all that apply]: Logo Business Card Sales Brochure Letterhead No, I will need [check all that apply]: Logo Business Card Sales Brochure Letterhead
Have you registered your domain name? No Yes [specify] [If no, please visit Domain Surfer to check availability of desired name. I suggest you contact me to register your domain name immediately, otherwise you risk losing it to someone else.]
Describe Preferred Design & Font Style of your Site [check all that apply]:
Classic Whimsical Americana Old World Feminine Masculine Earthy Technical Abstract Cosmopolitan Other
Provide Your Contact Information
Name *required
Business Name *required
Street Address
City/Town State Zip Code
Email Address *required
Telephone *required Day Evening Either In order to provide you with an accurate quote, please include your telephone number and specify the best time to contact you.
Additional Comments
Payment & Order Instructions
All photos & original designs owned by Lynne Menz © 2005.