Quote Estimator

Our goal is to create web sites that are unique, appealing, easy to navigate, and that keep your visitors returning.  We realize that every customer has their own individual needs.  We will work closely with you to help bring your ideas into reality. 

 

Please fill out as much information as possible.
This form is used strictly for quoting purposes only and is not a contract between either party.

FIELDS MARKED WITH '*' ARE REQUIRED!
Contact Information
Name: *
 
Address:

Town/state/zip: *

Home phone number:  (###-###-####)

Work phone number:  (###-###-####) *

Fax number:  (###-###-####)

Email address: *

Name of company:

Project Information
Current or desired Domain Name:

 I already own this Domain Name
 I already have a website, I need a quote for Website Maintenance
Expected due date for this project:

Expected cost of this project:

I was referred by: (name)

Their phone number: (###-###-####)

This project will need the following pages & features: (check all that apply)
 About Us/Who We Are Page
 Page Counter
 Email Form Page
 Chat Room
 Portfolio Page
 Picture Slideshow
 Frequently Asked Questions Page
 Background Music
 Support Page
 Ad Banner
 Make a Payment Page
 Products Page
 Contact Us Page
 Mission Statement Page
 Login Page
 Photo Page
 Links Page
 Site Map Page
 Calendar of Events Page
 Bulletin Board Message Page
This project will need the following services: (check all that apply)
 Search Engine Placement
 Monthly updates
 Complete overhaul of current website
 New hosting service
 Email Service
 Occasional website maintenance

 Your Additional Comments (sorry, no HTML will be allowed through):

 
 Cobra Web Designs will not share or sell any of your information to anyone.