Custom Web Site
To obtain your custom web design
quote, please fill out this form and click on the Submit button
below, or print it then fax it to us on our Toll-Free Fax Line 1.866.746.8244
Preferred Contact Method:
E-Mail
Telephone
Fax
No Preference
Services Requested: (check all that apply)
Price Range:
$250 to $500
$500 to $1000
$1000 to $1500
$1500 to $2500
$2500 to $5000
$5000 to $10000
$10000+
Type of Web Site:
Personal
Small Business
Corporation
Non-Profit
Your Level of Experience:
None
Beginner
Moderate
Expert
Number of Web Pages Needed:
1 to 3
3 to 5
5 to 7
7 to 10
10 to 15
15 to 25
25+
Number of Graphics Needed:
1 to 3
3 to 5
5 to 7
7 to 10
10 to 15
15 to 25
25+
Number of Scanned Images:
1 to 3
3 to 5
5 to 7
7 to 10
10 to 15
15 to 25
25+
Additional Features or Pages Needed: (check all that apply)
Do you have a Domain Name?
What is the URL address?
If you do not have a Domain Name, please list
5 choices: What type of Domain Name would you like?
yourwebsite.ca CANADIAN (country)
yourwebsite.bc.ca CANADIAN
(provincial)
yourwebsite.victoria.bc.ca CANADIAN
(city)
yourwebsite.com WORLD BUSINESS
yourwebsite.org NON-PROFIT SOCIETY
yourwebsite.net NETWORK
yourwebsite.edu SCHOOL or UNIVERSITY
yourwebsite.gov GOVERNMENT
OTHER:
DON'T KNOW?
Do you require Hosting for your Web Site?
Yes
No
Not Sure
What do you want your web site to accomplish?
(Check all that apply)
When do you want to start this project?
Immediately
In a Week or so
In a Month or so
Future Project
Just researching for now
Please describe exactly what you are looking for so
we may quote as accurately as possible
We look forward
to working with you to get your business started on the Internet
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