Pixel Lunch Graphic Design and Web Design
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Request Quote for Website

Submitting the quote request form is not a contract for work, it is simply a request for an estimated website quote.

*(Required)

First Name*

Last Name*

Company / Organization Name (if any)
Phone*
Cell
E-mail*
Current Website (if any)
Address
City
State*
Zip
How did you hear about us?
Type of website needed
(check all that apply)

Informational
E-commerce / Paypal Shop
Database-driven
Content Management System (CMS)
Unsure
Other

Project Budget*
(not including hosting)
Approximately how large do you anticipate your website being?*
Do you have a logo?

Yes No

Do you have photos / graphics?

Yes No

Do you have a domain name?

Yes No

Do you have a host?

Yes No

List up to three websites that best represent your style:

Which would best represent your new website?

 

 

Other:

Classic & Traditional
Clean & Modern
Artsy & Cutting Edge
Light & Fun
Heavy & Dramatic

Do you want any Flash in your new website? Yes No Unsure
Project description:
Additional Comments / Questions:

Graphic Design and Web Design
Pixel Lunch - Kansas City
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