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

			



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