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Please complete this form to the best of your ability to request a Free Quote or to simply Contact Us. Your detailed answers will help us to better understand your needs and provide you with a more accurate quote on your project.

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CONTACT INFORMATION (1 of 7)
* Your Name:
* Email address:
Phone:
Company:
Address:
City:
State:
Zip Code:
Country:

BUSINESS / ORGANIZATION INFORMATION (2 of 7)
What does your business or organization do?
What is the web address of your top competitors?

What would you like to spend on your website design (U.S. funds)?: 

We create a website for your budget. The larger your budget, the more hours available for us to create the layout and site design. It's that simple.
EXACT PRICE YOU'D LIKE TO PAY: U.S. dollars
Or Choose a Price Range:
$500 to $799
$800 to $999
$1,000 to $1,999
$2,000 to $2,999
$3,000 to $3,999
$4,000 to $4,999

$5,000 to $5,999
$6,000 to $7,999
$8,000 to $9,999
$10,000 to $14,999
$15,000 to $20,000
$20,000+


SERVICES NEEDED (3 of 7)
Design Services: Choose one of three:
Brand NEW Website
Redesign CURRENT Website
(update look of existing site)
Graphics-ONLY
(you just need graphics, nothing else designed)
Customization:

Choose one of two:
Custom
(more expensive)
Semi-Custom
(using a pre-made template, less expensive)

Features Needed: Check all that apply:
Domain Email Account(s) (such as you@ yourwebsite.com)
JavaScript Rollover Menu  (Example: the 5 graphic links on top frame)
Text Rollovers
Message/Bulletin Board(s)
Guestbook
Chat Room

Other site features?:
# of Online Forms:

  (CONTACT form, Feedback, Survey, Questionnaire)

OTHER SERVICES NEEDED:
  Logo Design (for Website, Business cards, Stationery, etc.)
DOMAIN NAMES Website Address

This domain is currently registered / the existing website
I don't have a domain yet, I need to register one / this one
 
MAINTENANCE Site MAINTENANCE (updates) after site is completed:

PROJECT DETAILS (4 of 7)
Approximately how many PAGES do you need designed or redesigned?: * Required
# of PAGES:
When do you want to start your project? As soon as the ink dries on the contract! (ASAP)
Within the week
In 2 weeks
In 1 month
In 2 months
More than 2 months
Do you have a deadline when the site must be completed?
Yes   No
If yes, when:
(date or number of weeks, months, years)

SITE CONTENT (6 of 7)
What elements will you provide to help create your website? (company brochures, logos, pictures, text, catalogs)
How will you supply
TEXT content?:
Electronic Format (text on CD, on disk, or via email)
Hardcopy, handwritten (you'd require us to type all the text)
Other:
How will you supply GRAPHICS content?
(logo, pictures):
Digital Format (graphics on CD, on disk, or via email)
You Need Us to Scan (digitize) your images or photos
Number of Images To Be scanned
(if needed) #: 
 Particular THEME you
Do or Don't prefer?:
(Ex: professional, corporate, bold, fun, artsy, exciting, simple...)
 Specific COLORS you
Do or Don't prefer?:
(Ex: cool colors, pastels, a certain color family...)
Websites you like &
Why you like them?
(Ex: a website address, template number(s), description of look) 

Almost Finished! (7 of 7)
Subject: (change subject if different)
Description of services needed / Message Comments:
  How did you find out about Our Website/Company?
This info is appreciated, but not required.

Give specific website or source:


Keywords you used to find Laser Speed Technologies' website:

 

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