Herley Web Design

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Contact HerleyWebDesign.com

Free Web Design Quote

Before completing the form below we recommend that you fill out the
Web Planning Worksheet
.  This will help you determine your exact Web design needs.  Once completed request a quote, and we will provide you with an estimate.  Please allow two business days for our reply.


Web Design Quote Request

Your Name:


Company Name:


Phone Number:


Fax Number (if applicable):


Email Address:


Website (if applicable):


Project Details: (Please be as in depth as possible) 

Type of project:
New Site  Redesign  Maintenance  Other

If "Other" please explain:

If "New Site" are we registering your domain for you?
Yes  No

Will you be providing any "Content" for this project?
No - We are looking for help with every aspect
Yes - We will provide the following "Content"...

(select all that apply):
Will provide - copy/text for our Web site
Will provide - images/graphics for our Web site
Will provide - layout/site map for our Web site
Will provide - audio/music for our Web site

Are you hosting your site with us?
Yes  No  Not Sure

Are you interested in a maintenance service plan?
Not Sure
Yes we would like one through HWD
A third party will be handling ongoing maintenance
We will be handling ongoing maintenance ourselves

Will HWD be handling your Web site marketing?
Yes - Please advise
We will use a third party for Web site marketing
We will handle ongoing marketing ourselves

Are you selling products from this Web site?
Yes  No

If "Yes" approximately how many?

Are you accepting online payments?
Yes  No

Approximately how many pages will this Web site be?

Which features are you planning to have on this Web site?  (select all that apply):
Shopping Cart
Calendar
Site Map
Blog
Message Board
Guest Book
Video/Audio
Newsletter Signup Form
Site Search
Other

If "Other" please list all:

When would you like the Web design project to begin?


How did you hear of us?
Search Engine
Newspaper
Our Web Site
Referral - if so who
Other - specify

Would you like your quote sent by:
Email  Fax

Enter the code as it is shown (required):


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Herley Web Design

Herley Web Design | 1127 Church Street | Xenia, Illinois 62899 | Phone 618-678-2540

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