To receive your free web design quote you need to fill in the form below. Items marked with a * need to be filled in. Please note that by contacting us using this page you’re not bound to any agreement, this is merely your first contact with us. If you have a query that is un-related to any of our services then please use this contact form instead. We will keep your private information just that way, private. We hate spam too.
|
| Your Name: (*) |
Please type your full name. |
|
| |
|
|
| |
|
|
| E-mail: (*) |
Invalid email address. |
|
| |
|
|
| |
|
|
| Phone Number: |
Invalid Input |
|
| |
|
|
| Company Name: |
Invalid Input |
|
| |
|
|
| |
|
|
| Company Location/City: |
Invalid Input |
|
| |
|
|
| |
|
|
| Current Website: |
Invalid Input |
|
| |
|
|
| |
|
|
| What is the purpose of your web site? (check all that apply): (*) |
Invalid Input |
|
| |
|
|
| |
|
|
| Please describe your business and target market in detail: |
Invalid Input |
|
| |
|
|
| |
|
|
| What type of service are you looking for? (*) |
Please specifiy the type of service you're looking for. |
|
| |
|
|
| |
|
|
| What will you be providing to Perfectly Simple towards your project? (check all that apply) (*) |
Please specify what you will provide to us |
|
| |
|
|
| |
|
|
| Approximately how many web pages do you need created? (*) |
Please tell us how many webpages do you need |
|
| |
|
|
| |
|
|
| Please list the sections / pages you would like your site to have: |
Invalid Input |
|
| |
|
|
| |
|
|
| If your site needs any online forms, please describe what they would need to capture from your user: |
Invalid Input |
|
| |
|
|
| |
|
|
| If your site needs any automation, databases, search, or e-commerce capabilities, please explain your needs. |
Invalid Input |
|
| |
|
|
| |
|
|
| What is your total estimated budget for this project? (*) |
Please tell us your estimated budget for this project. |
|
| |
|
|
| In the future, when new material is available, who is going to put it online? (*) |
Please tell us how you're going to update your website. |
|
| |
|
|
| |
|
|
| What is your present situation in terms of web hosting? (*) |
Please tell us your present situation in terms of web hosting |
|
| |
|
|
| |
|
|
| When would you like the project to start? (*) |
Please tell us when you would like us start the project. |
|
| |
|
|
| |
|
|
| Please describe, in great detail, any additional requirements you may have. - A detailed description of what you exactly want will leave as little room for misinterpretation and misunderstanding as possible. A good guidance would be to clearly state what your web site must have, should have, could have, and would like to have (but not this time around). |
Invalid Input |
|
| |
|
|
| |
|
|
| Please list a few other web sites that you like and why. |
Invalid Input |
|
| |
|
|
| |
|
|
| Where did you hear about us? (*) |
Please tell us how you found us. |
|
| |
|
|
| |
|
|
| How should we contact you? |
|
|
| |
|
|
| Please enter the code on the right as it is shown: |
 Please enter the code again. |
|
| |
|
|
| |
|
|
|
|
|