Web Design Contact

If you would like a proposal on an Internet or Intranet Project, please use the form below to tell us something about your requirements.

	What kind of project do you need implemented ?
	Do you need creative Flash Intro ?
	What type of database are you planning to use ?
	What scripting language do you plan to use ?
	Is user login/registration module necessary for you?
	Would you like to have functional shopping cart ?
	What about online credit card processing ?
	Do you need to have back end administration module ?
	How many pages need to be redone ?
	Do you need hosting ?
	What can you provide us with ?	Logo
		Photos
		Copy/Text
	Additional Information

	Do you already have a web site? yes no If so, what is the URL? http:// I'd like to use the internet to: Sell products or services Provide Customer Service Collect Marketing Data I don't know, that's why I want to visit with an Internet Consultant!

Some things we need to know about you:

Company Name:

Name:

Address:

Apt/Suite:

City: State/Province:

ZIP/Postal code: Country (If not USA):

Day Phone:

E-Mail:

Privacy Policy

For more information about our company, prices and successful projects we have completed you can send an e-mail to dave@web1-di.com

Thanks,
David Jenkins,
CEO/President.

1580 N. Northwest Highway
Park Ridge, IL., 60068

(888)-USE-WEB1 or (847)-827-9350

Some things we need to know about you:
Company Name:
Name:
Address:
Apt/Suite:
City:		State/Province:
ZIP/Postal code:		Country (If not USA):
Day Phone:
E-Mail:
	Privacy Policy

For more information about our company, prices and successful projects we have completed you can send an e-mail to dave@web1-di.com
Thanks, David Jenkins, CEO/President.