1. First Name
2. Last Name
3. Email Address -- Required for automatic quote
4. Company name -- If applicable
5. Do you have a current website? Yes
No
6. If yes please enter address -- i.e. www.scorpionsystems.net
7. Is this quote to update current site or re-create? Update Current
Re-create Current
Brand new site not based on current site (or no current site)
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 site--
Please fill in a detailed description of what you would like to have done. Please be as detailed as possible.

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 site --
Please fill in a detailed description of what you would like to have done differently on the new site.

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

 
--If you are choosing to have a new site created-- Also use this if you desire to have new pages added to an existing site
Number of pages that you expect to have created. Check all that apply.

Home page
About Us page
Links page
Other pages (be as specific as possible)


Directions page
Policy page
Information page
Locations page
Product page (no E-Commerce)
Photo/picture page
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.