Please fill out the details
below & click on the SUBMIT button when completed.
Contact Name:
Contact E-mail:
Company Name:
Location:
Phone Number:
Current website (if you have
one):
Do
you currently have a domain name?
($99 2yr)
Would you like to use our HOSTING
Please Select
No Thanks
Yes - Basic 25mb $9.90mth
Yes - Standard 50mb $19.90mth
yes - Business 150mb $36.30mth
What
type of website would you like?
Please Select
I just need Hosting
A site to Promote my Business
I want to Sell Products Online
Quickwebs to maintain our Existing Site
cPanel Hosting - I will Take it from there
Do
you have any knowledge
of HTML?
Please Select
None.. What
is HTML?
I know a little.
Average.
HTML Fluent.
Would
you like the Software Contribute CS3 Installed so
you can edit content on the site ?
Please Select
DIY - Just hosting to build my own site
No - Quote for Quickwebs to Maintain
Yes - Please add $250 for Licence
Can
you provide us with Text, Images &/or documents
to describe your business.
Please Select
No - we need help!
Yes - Via Email
Yes - On a CD
Yes - But in Hard Copy
Do you want us
to provide ongoing maintenance & support?
Please Select
No Thanks
Yes - Email Support $20.00 per Service
Yes - Site Maintenance $47.50hr
Yes - Suport & Maintenance $37.50hr
Do you have a budget
for this project?
Please Select
Not Sure
$300-$600
$600-$1000 Average
$1000-$1500
$1500-$3000
$3000-$6000
$6000-$10000
$10000+
How many pages do you think you'll need?
Please Select
Not Sure
1-5
6-10
11-20
21-49
50+
Do you have a sample site you like:
How
did you hear about QUICKWEBS?
Any
additional comments/questions?
