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Web Design Estimate Form

To receive an estimate for your website, please fill out as many of the questions listed below as possible. The more details you give me the better. If you have any questions, please feel free to email me at David@NJWebitect.com


Your Personal Information
Name:
Company Name:
Current URL (if any):
Email Address:
Phone Number:

Type of Request
Brand New Website | Redesign a Current Website | Add to a Current Website

Do you need a URL?
Yes | No

Do you need a Host?
Yes | No

What features would you like on your website?
Ability to Edit Your Own Contents Background Music
Paypal Checkout Contact Form
Google Checkout Photo Gallery
Form Processing Email Database

Website Size (number of pages to add/modify)
Approx. # of pages:

How long will I have to complete the job requested?
Deadline/# Of Days:

Please list any websites that you think have great style, design, functionality, or features that you would like to incorporate into your site:


Any additional comments may be post below:
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