Information Request Form

Fill out as much or as little of the form below as is necessary for your request. The required fields are marked with an asterisk (*). Click the "Submit" button at the bottom of the page to submit to us.

Web Design Estimates
Web creation is like building a house, the cost can vary depending on many factors. Size, functionality, and the amount of existing materials contribute to determining a price. Sites can cost from $100 up to $20,000 or more depending on what you want it to do.

This form can help in determining a ballpark estimate. The more information you provide, the more accurate the estimate will be.

If you don't know the answer to any non-required item, just leave it blank.

For association discount, enter association name:
Company Name: *
Your Name: *
ZIP Code: *
Email Address: *
Telephone Number:
Fax Number:
Is this a NEW website or a re-design of an existing site?  New
			Re-design
If this is a redesign, what is the current web address (URL) of the site?
URL:
Will you need to pick out and register a domain name for your site? Yes
					No
About how many pages do you anticipate on the site?
1-5   5-10  10-20   Over 20
Do you have content (verbiage) written for the site?				Yes    No
Do you have photos for the site?				Yes    No
If you have photos, are they in digital format?				Yes    No
Do you have a logo for your business?				Yes    No
If you have a logo, is it in digital format?				Yes    No
If you do not have a logo, do you want WDIM to design one?				Yes    No
What other items do you need? Check as many as apply.
Input Forms		Audio
ACT! Integration		Rollover/Pop boxes
Message Board		PDF files
Video
Do you want us to submit your site to search engines?				Yes    No
Type of Business:
How did you hear about us?
Comments or Questions: