Your Name:

Company Name:

Type of Business:

Phone Number:

Email Address:

How would you like to receive your quote?
Email  Phone

Is this a NEW website, or a REDESIGN of an existing site?
New  Re-Design

If a Re-Design, what is the current URL of your site?

Will you need to have your domain name registered?
Yes No

Will you need web hosting for your site?
Yes  No

Do you have the content (text) written for the site?
Yes    No

Do you want Websolutions India to design your logo?   Yes  No

What specialty items will you need? (Check as many that apply)
Not Sure                       Shopping Cart
Feedback form               Flash animation
Newsletter                    PDF Files
Other Script Work - Please explain:

Which type of Site Promotion Plan would you like to receive?
Basic Plan Complete Plan Quote Both None

Additional Comments/Questions: (Any additional information that
might be useful in regards to quote or design considerations.)

How did you hear of Websolutions India?
Word-of-mouth            Search Engine / Directory
Link from another site   Advertisement