Please fill out the form provided below to let us know a little bit more about your web development needs. We will review your information and respond within two (2) business days. By filling out the form, you are under No obligation.

If you do not wish to fill out our online custom quote form, you can either e-mail your request to info@simplywebdesign.net or call us at (423) 238-1253 or (423) 309-0165

**Simply Web Design WILL NOT sell, give or otherwise share any information supplied herein to any third party. It is for internal use only related to providing you with our web design services.

Contact Information
Contact Name: (*required)
Company Name:
E-Mail: (*required)
Street Address:
City:
State: Zip:
Phone # (including area code):
Best time to contact:
Preferred Method of Contact: Phone
E-mail

Web Development Needs
Current Website Information
Do you currently have a website?    Yes No
If yes, please enter your site URL below:
Tell us what you like and don't like about your current website:
Services Desired (check all that apply):
Website Design/Development E-Commerce Web Development
Website Evaluation Content Development
Site Maintenance (specify plan below): Hosting
Website Design Information:
Web Design Package Desired: Approx. Number of Pages (including home page):
Menu Position Desired: Horizontal Vertical No Preference
Will you need help with content development? Yes No
Do you have your own images you wish to use? Yes (all I need) Yes (some but need more) No (none)
Colors Desired - please enter hex color code number if known ( hex code color chart ):
Please describe what you have in mind for your web page so we can get a better idea of your design needs. If we have a sample layout you like, please let us know.
Additional Features (check all that apply):
Flash Effects (light-moderate) Custom Forms (i.e. feedback, contact, etc.)
Flash Slideshow E-mail Autoresponder
Real Audio, MP3's Other (please specify below):
Extended Links Page (over 25 links)

Additional Comments (please enter below) :
       
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