Web Design Estimate Request Form

In order for us to provide an estimate, we need to know the details of the web site you have in mind. This form will guide you in providing the information we need.Please allow 1 business day for us to evaluate your request.

Please also note this is just an overall estimate, final figure maybe higher or lower depending on further information

Questions with a '*' are required 

Please type your answer after each question. Grammar and punctuation do not matter, but completeness definitely does!

Your name: *
Phone No *
email address *
confirm email *
Company/Business name *
Business Location *
Heard of Blueline by: *	----Friend / Business associateExisting Blueline clientWeb SearchOtherAdvertisement
Need a quote because *	----We are a new business/ company.We never had a website, now looking.We are not happy with our existing website.Just looking around.We are looking for other bids
Please describe your business,company or organization in a few sentences: *
No of Employees
What is the reason for wanting a website?.What is the purpose of the website? *
Please make a list of planned site pages and/or groups of pages. It could just be a guess( E.g About, Contact, Products, Services etc)
Who is your target audience ? e.g individuals / businesses
Do you have a domain name registered already	Yes  No
Will you need email addresses ? If so how many
Are you planning on showcasing your products ? If so How many?
Do you have pictures of your business to include on your website	Yes  No
Will you need professional photos taken of your business to place on your site ? How many ?
Please state any other websites in your industry that you have seen and liked and may want your website designed similar to
Please tell us anything else we need to know or information you may want placed on the planned web site.
Upload any Flyer of brochure about your business so we can get a better understanding
Please type the letters and numbers shown in the image.
	Click the image to see another captcha.