PixelMason - Website Design | Networking | Support | PC Repair | Virus Removal

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Please use the following form to submit a quote request for website development. Please provide as much information as you can. Try to answer as many of the questions as possible. This will enable us to ensure a more accurate quote. If you are not sure of the answer for some questions, you may leave them blank. You must include your name and a valid email address for this form to be processed. Once we have received your quote, we will get back to you promptly to provide a quote, or answer any questions you may have.

Requested Services:
Original Website Design	Domain Registration
Existing Website Re-design	Website Hosting
Ongoing Website Maintenance

When would you like to
have your web site completed?

Now
Within 3 months
Within 6 months
Unsure

Do you have a budget in mind?

Please tell us about your style:

What style would you like your website to reflect?

soothing & tranquil
vibrant & juicy
rich, warm & spicy
simple & Zen-like
mystical & magical
Other

What shades/hues do you prefer?

pastels
earthtones
black & white
bold & brilliant
retro
metallic

What colour palette do you prefer?

Warm (red, yellow, orange)
Cool (blue, green, purple)

Metallic
Not Sure

Please tell us your website preferences:
How many pages will your website be?	Do you have a domain name reserved? Is your website currently hosted? Yes No
Describe the purpose and intent of your website:	List some sample URL's of websites you like, and tell us what you like about them:

Please tell us about your business:
Describe what type of business you're in:	Describe your target market:

Your contact information:
We value your privacy. View information on our Privacy Policy in a new window.
Name:		Email:
Company:		Phone:
		Fax:

Mailing Address:	Where did you first hear about us?
Is there any other information that you feel we should know in order to give you an accurate quote?

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