Multi-System Forms - website design, Long Island and New York, NY.

Website Design Quotation Request
(no obligation, all information confidential)

CONTACT INFORMATION:

Your Name:

Your title:

Company Name:

E-Mail Address:

Daytime Phone #:

Fax #:

I WOULD LIKE MY QUOTE PROVIDED:
By E-Mail
By Fax
By Phone

MY LEVEL OF INTERNET EXPERIENCE:
None
Beginner
Moderate
Expert

GENERAL INFORMATION:

What type of business would you like to put online? :

Do you currently have a website ?
Yes
No
If yes, what is the address ? http://

Description of current website :

PROJECT INFORMATION:

WHICH BEST DESCRIBES YOUR PROJECT?:
I Am Not Sure What I Need. Please provide a quote based on my business explanation.

Home Page; Budget of $300.00 - $500.00.

Basic Informational Site; Budget of $500.00 - $1,000.00

A more Sophisticated Site That May Include Interactive Features Such As Custom Order Forms; Budget of $1000.00 - $2000.00.

A State Of The Art Site That Is A Leader In The Industry With Specialized Programming And Design Elements, Such As Catalogs, Shopping Cart, Custom Programming, Message Boards, Custom CGI Scripts; Budget of over $2000.00.

I WANT MY WEB SITE TO? (Check All That Apply):
Provide company information
Provide product information
Provide customer support
Sell products or services
Other (Explain in additional comments)

WHEN DO YOU WANT TO START THIS PROJECT?:
Ready To Get Started Right Away
Ready In A Month
Ready In The Next Three Months
Future Project
Just Beginning Research On This Project

PROJECT REQUIREMENTS:

I WANT TO ACCEPT CREDIT CARD ORDERS AND:
I currently have a merchant account.
I will need to apply for a merchant account and would like information on my options.
Not Sure

I WILL REQUIRE A SECURE SERVER FOR ACCEPTING CREDIT CARD OR OTHER CONFIDENTIAL INFORMATION THROUGH MY WEB SITE.
Yes
No
Not Sure

I WILL NEED A SHOPPING CART FOR MY WEB SITE?
Yes
No
Not Sure
If Shopping Cart - Approximately How Many Items Will Be Sold?

Estimated Number of Web Pages not including Home Page or Forms:

Estimated Number of Forms:

Estimated Number of Custom Animations:

Estimated Number of Custom Graphics:

Estimated Number of Photo's to be scanned:

Hosting required ?
Yes - Please include hosting in my quote.
No - I will be hosting my site elsewhere
Not Sure

How did you hear about Multi-System Forms ? :

Additional Comments/Instructions:

Multi-System Forms, Inc.
11 Homecrest Ave.
Huntington Station, NY 11746
PHONE: 631-425-2800
FAX: 631-425-9611