Name :
Company or Business Name
:
Address :
City : State : Zip Code :
Country : Phone
: Fax:
Email :
Please Fill Out As Much As
Possible For More Accurate Quote - Skip Anything You Are Not
Wanting Or Unsure About - Thank you
Type of Business or Service :
Describe what
features you would like ( Graphics, Database, Shopping cart, Gallery,
Catalog, Product review, Information pages, Guestbooks,
etc.):
If you can, please
describe what pages, by title, you would like to have incorporated
in your web site (example: Home page, info page, contact page,
gallery, project page, products, service page etc.)
What existing sites
have a similar look and feel to what you want? Note: For privacy
reasons, do not include your own URL here or elsewhere in your
description.
How Often would you
like your site updated? Please Explain what you would like
changed
Do you have the
following (Check the Box):
Email
account:
Fax:
Scanner: Digital Camera
If this is a company
or office, will you require multiple email
accounts?
Yes No
Do you want your own
domain or use one of our sub domains .
Yes, I want my own
domain:
No, I just want a sub
domain:
Do you have a web
site
now?
No:
Yes:
If Yes , what is the URL Address (s)? (List all if more
than one)
Do you want us to
register a domain for
you?
Yes
No
What is the web
address you would like to have?
Extras you may like to have included in your website:
Do you want animated
graphics?
Yes
No Unsure
Do you want a flash
presentation?
Yes No
Unsure
Do you require a
database?
Yes No
Unsure
Any special
requirements?
Main Concerns About a
Web Site????
Questions you would
like to have answers for concerning Web Sites???
How did you hear
about us?
Shopping Cart
Information (If Needed):
Do you need a
shopping cart? Yes No
Do you have your own
merchant account? Yes: No If No;
Would you like to set one up? Yes:
How many products do
you have?
How often a month, do
you think you would have product changes:
All information will be treated as "PRIVATE"; No third parties
will be contacting you, please press the "Submit" button below and we
will respond to you as fast as possible, with a quote. This is
only a quote for your benefit, and you are under no obligations to
have RK Data create your Web Site for you. Thank you for visiting us
and come back again soon