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REQUEST INFORMATION
 
Name:
Title:
Company Name:
City:
State/Province:
Country (if outside USA):
E-mail Address:
Phone:
Background & Objectives:
What does your business do?
Size of your company: Small Medium Large
What are your goals for the site? Sell products/services online;
      approximate number:
Marketing tool to get new customers/clients
Information resource for current customers
Provide customer service;
      What type of service?
Services Required: Design new site; number of pages
Re-design current site
Promote and market site
Domain Registration & Hosting:
Do you need a domain name registered? Yes No
Current Domain Name (URL):
ex http://www.domain.com
Do you want hosting set up for you? Yes No
Web Site Look & Feel:
What other sites do you like that are similar to the type of design you want?
What do you like about them?
What do you NOT want on your site?
What graphics, photos and other art do you have?
What graphics, photos and other art do you need designed?
Additional Information:
What is your design budget? $500 to $1000
$1000 to $3000
$3000 to $5000
$5000 to $10,000
$10,000 to $20,000
$20,000 to $50,000
Greater than $50,000
Or Specify:
Do you have a deadline when the site must be completed? If yes, when:
Questions or other information we may need:
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Thank You














Web Design Station is happy to discuss your web design project.
Fill out the form to the left and a representative will contact you within one business day.
Only the contact information is required. All other fields are optional.
If you would like a project quote, please fill out the entire form.
We offer complete web services including web design, hosting, e-commerce, marketing and programming.
Ask about our LiveStats and Mailing List services.

Web Design Station will take the time to explain exactly what we are doing and why it is important to the success of your site.

We take a tremendous amount of pride in the way we service our customers. That is why we encourage you to view our current projects and contact any of our clients for a reference.

Not quite ready for a web site? Go ahead and give us a call. We will be happy to answer your questions.













 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 



Toll Free: 1-800-565-4426
Phone: 610-325-7514
FAX: 610-325-3599
E-mail: sales@webdesignstation.com