A web design quote will help determine the approximate cost to develop and maintain your web site. This free quote is not a binding agreement. You are under no obligation to hire Durham Web Designer as your web site deveoper.

In order to receive an accurate quote, please fill in all of the following information. Your contact information will remain confidential and will not, under any circumstances, be used for solicitation purposes.

Contact Information	* Indicates a required field

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	First Name:	*
	Last Name:	*
	Business Name:
	E-mail:	*
	Address:
	City/Town:
	Province/State:	Select Province Alberta British Columbia Manitoba New Brunswick Newfoundland & Labrador Northwest Territories Nunavut Nova Scotia Ontario Prince Edward Island Quebec Saskatchewan Yukon USA - State
	Country:	Select Country Canada United States Other
	Phone:	* Include area code

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Please give a brief description of your company or organization

What products or services does your organization provide.

If you have an existing site, please enter the URL of your site here:

If you have purchased a web template, please enter the number of the template here
(note the template number can be found in your browsers title bar):

What is the basic web service you require?

---select from list--- New site with up to 5 pages New site with 6-10 pages New site with 11-25 pages New site with more than 25 pages I have existing site needing work

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Do you anticipate needing any of the following? Please check all that appy

Template Customization
Photo Scanning / Optimization
Custom Graphic Design (logos, banner ads, etc)
Digital Photography (In store photos of your products)
Flash Design (banners, buttons, logos, etc. with motion
Opt-In Mailing List (Allow your customers to sign up for special promotions)
Feed Back Form
Feed Back Form with e-mail auto-responder
Secure Order Form to accept credit cards
Shopping cart with secure server access
Real Time Payment Processing
Sitemap or table of contents (recommended for sites over 50 pages)
Domain Registration
Search Engine Registration
Monthly maintenance (updates)

Please provide any additional comments about your needs and preferences including deadlines, design preferences, etc.

How did you hear about us? Would you please provide us with the name of the person who suggested our services. We would like to thank them.