VisuMedia Design™ - Quote For Web Design/Redesign

Web Design/Redesign Quote Form

Please fill this form out as thoroughly as possible. Your quote will be only an estimate based on the information provided. A final quote will be provided after an initial free consultation.

Name:
Title:
Organization:
Mailing Address:
Country if ousted USA
*Phone Number:
Fax:
Email:
Type of Design	New Design
Type of Design	Redesign
Current Domain Name (URL)
Purpose of Site:	Sell products/services online Marketing tool Information resource for clients
Size of Company:	Small Medium Large
Type of Organization:	Nonprofit Ministry For Profit
Do you accept credit cards:	Yes No Would like to accept credit cards
What services would you like?:	Shopping Cart Forms Search Engine Discussion Forum Ability to download files Other (specify below)
Other Services:
Do you need graphics designed?:	Yes No
What are your goals for your site?:
Will you provide the text in electronic format?:	Yes No
Deadline when site must be completed:
Questions/Comments:

Please be assured:

Your privacy is important to us!
Information provided to VisuMedia Design™ will never be sold, shared or given to third parties.