H&T Web & Electronic Publishing DESIGN ESTIMATE

NOTE:Fields marked by an asterisk (*) are mandatory.

Contact Person
* First Name:
* Last Name:
Company:
Existing Web site:
Type of business: (Ex.: Service, Retail, etc.)
* Email (...@........): Please double check this entry!
Address:
City:
Prov/State:
Country:
Postal/Zip:
* Phone (area code-number):
Fax (area code-number):
How did you find us?	Alta Vista Excite Infoseek Webcrawler Yahoo! Other Search Engine ---------------------------------- Word of mouth Multimedia Event Magazine / Newspaper Other...

Project Description
The following section is to help us better understand your needs. Please provide as much detail as possible.
Web project budget range?	Less than $500 $500 - $1,000 $1,000 - $2,000 $2,000 - $5,000 $5,000 - $10,000 $10,000 - $25,000 $25,000 - $50,000 Above $50,000
# of pages:	(approx. 350 words or less per page)
# supplied graphics:	(logos, photos, illustrations)
Indicate desired Interactive Features:	Online Shopping:Feedback Form:Site Search: Database Search:Chat Room:Newsgroup:
Additional Comments/Info:
Prefered contact method:	email:     phone:    fax:    mail: - please supply if chosen.