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  Web Design Quote Form...
WideDomain Internet would be pleased to provide you with a no obligation qoute to design your company or organization's web site. Please use the form below to help WideDomain Internet's designers understand your vision and better meet your needs while designing your web site.

Please note: Shaded areas indicate required input.

Company Name:

Contact Name:

Street Address:

City:                          State:
Zip Code:   




Preferred method of contact:

How did you find WideDomain Internet?

What is your domain name?

Are you interested in hosting with us?

Please select the purpose(s) for your web site (check all that apply)
Cutting edge appearance for company
To keep up with the times
To develop a marketing database
To sell products/services online
To give out information
To create brand recognition
To have prospects contact us

Additional purposes for your website:

Who is your target web site audience?

Tell us about the types of products or services that you sell:

What are your company's strengths in the marketplace?

What makes you different(better, more diverse, etc.) from your competition?

To provide our designers with an indication of how you would like your site to look, list up to three Web sites URLs of your competitors, and/or Web sites you like:

Atmosphere desired (modern, elegant, teen, technical, artistic, etc):

Color schemes desired:

Additional details about company, project, desires, etc:

Do you have a company logo?

Please estimate the number of pages that you will need:

Additional options: (check all that apply)
Need a Domain Name? $15/yr
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