Web Development Estimate

Please complete the following estimate form, fill out as many details as possible, but keep in mind that nothing is required for an estimate - the more information you can provide, the more accurate your estimate will be.

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Surname:	Mr. Ms.	Type:	Select One Small Business Corporation Personal Non-Profit Religious Other
First Name:		Budget:	Select One Undecided $500-$999 $1000-$1499 $1500-$1999 $2000-$2499 $2500-$2999 $3000-$3499 $3500-$3999 $4000-$4499 $4500-$4999 $5000+
Last Name:		Contact Information:
Referrer:	Select One Word of Mouth Friend Banner ----------- Google Yahoo! MSN Alta Vista Excite AOL Lycos AskJeeves Netscape Other (Specify Below)	E-Mail:
If Other:		Phone:
Brief explanation of what you want:		Pages:	Undecided 1-3 Pages 3-5 Pages 6-10 Pages 11+ Pages
I am mostly concerned about the:		Select One Total Price Site Functionality Visual Appearance Everything Other (Specify Below)
If 'Other' please specify:
Are we redesigning your current site?		Select One Yes (See Below) No
If so, what is the current address?
How often do you anticipate your site will be updated?			No Updating Occasionally Daily Weekly Monthly Quarterly Other
Explain:
Do you have a list of any of your competitors? (If so, please list their addresses below)
Address1:
Address2:
Address3:
Address4:
Address5:
Will you require hosting services?		Select One Yes No Not Sure
Keywords that will describe your web site, products, and services:
Keyword:
Keyword:
Keyword:
Keyword:
Keyword:
Keyword:
Do you have the content pre-typed? (Text for site)			Select One Yes No
Do you need help writing or correcting the content?			Select One Yes No
Estimated time of site completion:		Does Not Matter Depends On Price 1-7 Days 1-2 Weeks 3-4 Weeks 2 Months 3 Months 4 Months+
Target audience & business goal (Who is the web site geared towards?)
Any additional information you wish to include:
Enter Image: