Filling out this form will help us give you a price quote that is as accurate as possible. Be sure to double-check your e-mail information so that we can get back to you with a quote. We will not give this information to anyone outside WebSmith Design.

Name:

E-mail Address:

Phone #:

Is this a New Site, Site Redesign, or Print Design

If this is a redesign of an existing site, what is the URL of your current site?

What are your objectives?

Commercial, General

Catalog

Educational

Online Exhibit

Discussion Area

Other

Briefly describe some of your objectives:

What are some of the features you are looking for?

E-mail Accounts

Online Shopping

Online Sound

Discussion Rooms

Animated Graphics

Guest Book

Secure Connections

Hit Counter

Other

Please list any other features you are looking for:

What are some of our services that you know you will need?

Web Site Design

Web Site Consulting

Graphics Design

Web Site Hosting

Domain Name Registration

Graphics Scanning

Copy Writing

Web Site Promotion

Logo Design

Copy Editing

Other

Please list any other services you may need:

Have you established a budget? No Yes

If you have set a budget, how much would you like to spend? $

Additional comments and questions: