Surge Web Site Design

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To get more information on my web design services or to receive a quote, please fill out the information below. The more information you can give me and the more accurate it is, the closer the quote will be.

Your privacy is important to me. Your information will not be shared, sold or exchanged with anyone else.

First Name Last Name

Company

Email:

Email

What is the scope of your site and what are the pages you will need? (a rough site map is required for an estimate)

Do you have a logo? Yes No Do you need one? Yes No

Do you have a hosting service? Yes No Do you need help setting it up? Yes No

Any technical functionalities you need, such as Paypal shopping cart, photo gallery, animation, etc?

Design preferences (colors, typefaces, styles, themes)

List of some websites you like the layout/design of:

List of some websites you DO NOT like the layout/design of:

What is the timeline for your project? Do you have the content ready?

What is your budget?

What is the intention of your website?