Website Design Request

Please use the form below to submit your website design specifications for a quote/proposal.

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First Name

Last Name

Email Address

Company Name

The name of the company the website is for

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Phone

Budget*

Please advise of your budget for this project. This will allow me to offer you a solution that fits within your budget or put together a plan to spread the work/cost over a longer period.

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Website Specification

Use this section to specify how many pages you need on the website, describe the purpose of the page and any special effects, features or functionality that is required.

Please provide as much detail as possible, as any missed functionality will not be included in the proposal/quote.

Use the “ADD ANOTHER PAGE” button below to add each page. So if your site should have 5 pages, you need to add 4 more and describe each one.

A list of common modules has also been included for your convenience.

Other Functionality / Applications

Please describe any other features you require on the website.

A list of common modules/applications have been provided for your convenice, but please provide as much detail as possible about the specific functionality you require as there are dozens of different plugins/solutions available to choose from.

Other details

Please provide more detailed explanation of required functionality where possible.

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Signature

By submitting this form, you hereby agree to accept our Terms & Conditions. Your IP address 157.90.182.23 will be stored in our database.

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