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Get a Web Programming / scripting quote now!!Basic Web Scripting Services Quote & Information Form

Thank you for your interest in having us develop a web site for you or your business. Please fill out the form below as completely as possible. A quote will be generated automatically by our system, and will be emailed back to you within 24 hours on weekdays or 72 hours on weekends.

An account executive will be assigned and will be available to you to answer any questions. No one will contact you unless you choose.

None of your information including your email address will be used for any purpose outside of this request. We respect your privacy and hate junk mail as much as you do, therefore it is our strict corporate policy that Scorpion Systems will never sell or transfer your information to a 3rd party.

1. First Name
2. Last Name
3. Email Address -- Required for automatic quote
4. Company name -- If applicable
5. Do you have a current web site?
Yes
No
6. If yes please enter address -- i.e. www.scorpionsystems.net
7. Is this quote to update current Script or re-create?
Update Current
Re-create Current
Brand new Script (or no current Script)
8. If no to question 5 -- do you have a domain name?
We can transfer a domain name to our host for no fee if required.
Yes
No
9. Do you currently have a host (server)
Yes
No
10. If yes -- What type of host
Windows
UNIX
Don't know (or other)
11. If no current host, would you like us to give you a quote for hosting services?
Yes
No
Please fill out the appropriate section below:
--If you are choosing to have us update your current Script--
Please fill in a detailed description of what you would like to have done. Please be as detailed as possible. Also include the scripting language prefered,

We will review your current web page and your comments and will respond back to you.

--If you are choosing to have us re-create your current Script --
Please fill in a detailed description of what you would like to have done differently on the new script. Also include the scripting language prefered,

We will review your current web page and your comments and will respond back to you.

 
--If you are choosing to have a new script created--
Will there be any pages with forms on them?
(Like the one on this page)
Yes
No
Any comments or special instructions

 

Would you like a return call for more information?
Yes
No
If yes:
Please give phone number
And best time/day to call

Please press or press to start over.