Request a Quote
The following form will help us to provide you with an initial proposal. Please answer the questions in as much detail as possible to ensure the most accurate quote possible. To make multiple selections in the programming and features sections, hold down the "Ctrl" button and click the left mouse button on all desired selections.

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* Name:
* Email:
* Phone:	(ex. 555-555-5555) HomeWorkMobile
Current Web Address:
Will you be hosting with us?	-- Select -- Yes No Not Sure
# of Pages:	-- Select -- 1 2 3 4 5 6 7 8 9 10+ (non programming pages)
Web Design Needed:	-- Select -- New Website Design Redesign Existing Site Small/Maintenance Changes
# of Template Designs:	-- Select -- 1 2 3 4 5 6
Content:	-- Select -- Use content from my existing site I'll provide new content Content by Webtivity
Branding/Identity:	-- Select -- Use my existing logo/identity Design a new logo
Flash/Multimedia:	-- Select -- No flash/animation A single flash element Multiple flash elements Complete flash project
Programming:	-- Select -- Custom programming E-Commerce Dynamic photo gallery Calendar   *please describe below
Other Features:	-- Select -- Fixed photo gallery Search feature Hidden hit counter Language translator Online form Local weather
Website Maintenance:	-- Select -- I need a content management program Webtivity can make all changes I will make changes through FTP access
Estimated Budget:	-- Select -- up to $1,000 $1,000 - $1,500 $1,500 - $2,000 $2,000 - $3,000 $3,000 - $5,000 $5,000 - $7,500 $7,500 - $10,000 $10,000 - $15,000 $15,000 - $25,000 $25,000 - $50,000
How did you find out about us?	-- Select -- Internet search Word of mouth Print advertisement Radio/TV advertisement The Webtivity car Other
Websites you like:
Detailed Description:
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