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Web Design :: Free Estimate

Please complete the information below.

We will review your web site needs and return a "free" AEPLUSUSA estimate within 48 hours.

Your quote will be based on your own individual needs.

Provide your phone number and email address.

No purchase is required, this estimate does not obligate you to purchase a web site
Contact Information
* Name
Company Name
Address
City
State
Zip
* Phone Number
FAX Number
* Email (required)
Current Status Information
What is your project budget?
Do you have a domain name? YES   NO
If YES, what is your domain name?
Do you have a hosting provider? YES   NO
If YES, who is your provider name?
Do you currently have a web site? YES   NO
If YES, what is your URL address?

Your Web Site Needs

What is your type of business?
What market do you like to target?
What is your site goal and objective
What type of web service do you need:   (check all that apply)

NEW WEB SITE

REMODEL EXISTING SITE
SITE MAINTENANCE DOMAIN HOSTING
IMAGE SCANNING COMPANY LOGO/GRAPHIC DESIGN
If you checked the IMAGE SCANNING item above
How many images do you need scanned?
What elements would you need on your site:   (check all that apply)
ORDER FORM PAGE SHOPPING CART PROGRAM
SECURE PURCHASE PASSWORD PROTECTED AREAS
PICTURES OF PRODUCTS CUSTOM WEB GRAPHICS/LOGO
JAVA SCRIPTS CUSTOM FORMS

OTHERS
(Please type them in box)

How many pages will your site be composed of?
For example, an "Opening Page", an "About Us" page, an "Order Form" page, a "FAQ" page, a "Products" page, a "Service" page, a "Useful Links" page, etc.

Approximate number of pages:

Question or Comments
Please include any additional information that can help us, below:
 

Thank you for filling out this form
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Our Web Design
Development
Services include: 

Web Site Design
Name Registration
Hosting Service
Online Ordering
E-commerce
Web Image Design
Image Scanning
CGI Forms
Javascript
Access Databases
MySQL Databases 
Site Updates/Maintenance

 
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