Web development quote form

Plese fill out the following quiestionnaire. The more details you provide, the more accurrate and fast your quote is going to be
Contact Information
Title:
Name:
e-mail:
Phone Number:
Address:
Business Information
Business name:
phone:
Email:
Fax:
Website:
Project Information
What type of services are you looking for: Web Design
Web Development
Hosting
Online Marketing
What is the main purpose of your website:
(Please include details about what type of services will you offer, what type of products will you sell, etc)
What domain name(s) do you have registered:
What domain name(s) would you like to register:
Do you currently have a logo either printed or in a digital format?: Yes
No
Do you have the content needed for your site?: Yes
No
Do you have an idea about how many pages are needed for your site?:
Which of the following features would you like to include in your site: Multimedia content (audio, video, animations, etc)
Contact forms
Payment processing
User registration
Content management systems
Other:
Is there another site that is similar to what you want?:
Do you intend on maintaining your site yourself? I will maintain the site myself.
I would like to have a content management system (CMS)
I will need a maintenance plan
I am not sure.
Audience & Budget
What is your desired timeframe for the completion of this project?:
When would you like the project to be finished?:
What type of audiences is your project for? (Businesses, General Public, Youth, Kids, Mothers,) Who will be looking for your site?
Which language(s) would you like you project to be available in?: English
Spanish
French
Deutsch
Italian
Other:
Who are your competitors?:
(Please enter up to three)
What is your allocated budget for this project:
Audience reach?: Corporate
Local
Regional
National
International