Online Web Page Estimate Form

Please note: Although it is most likely that you will not experience any problems responding to this form, it will not work with every single browser in existence. If you experience any difficulties, you may email your response to this form to: Blue Cactus Web Designs..

Please fill in each blank. If the blank does not apply to you, simply type n/a. Do not use HTML tags.

Billing Information

Please complete the billing information completely.

Company Name:
Contact Name:
Address:
City:
State:
Zip:
E-Mail Address:
Phone:
Fax:

Web Page Information

What title would you like for your page(s)?

Page Title:

Please enter a description of your web site.

Please give us an idea of the type of graphics if any you would like to see on your page(s).
i.e. Clipart, Photographs, Logos, etc.

Graphic:

Please list keywords for use in searching for your page.

Keywords:

How many pages will your site involve?
There is a three page minimum.

6 or more

Would you like to include a catalog on your site?

Yes

If yes, about how many items would be included?

Number of Items:

Would you like a fill-in form with your page?
Form responses can be sent to you automatically.

Yes

What type of domain are you interested in?

Level One (Non-Virtual) www.bluecactus.com/yourname

Level Two (Virtual) www.yourname.com

Once you have entered the information for your site, simply click on the submit button below. YOU WILL NOT RECEIVE AN IMMEDIATE ACKNOWLEDGEMENT THAT THE PROCESS WAS COMPLETED. We will email you or call if there are any questions. An estimate will be emailed to you upon completion of reviewing the information you have provided.

Thanks for supporting Blue Cactus Web Designs!