Request an Estimate
Laguna Beach Internet Web Design

Please take the time to complete this form so we can understand your web design needs a little better. More specific points can be discussed by phone or email. After all information is gathered, we will contact you with a detailed estimate. There is no obligation and the estimate is completely free of charge.

Items marked with * are required info.

Contact Information:
Contact Name*
Company Name*
Contact Address*
City, State, Zip*
Contact Email*
Contact Phone*
Contact Fax
How do you initially prefer to be contacted concerning web site details?	By phone    By Email
Web Site Content
The proposed site is a	New Site    Redesign
If site is a redesign, please list the existing address
Estimate how many pages are needed for your web site	One page 2 - 3 pages 4 - 6 pages 7 - 10 pages Over 10 pages
To give us a better idea of how you envision your site, please select all of the page examples you would like included in your web site.	About Us Contact Pg Feedback Articles Products Services Portfolio Privacy Policy Guest Book Message Board	Terms of Use Newsletter Site Map Web Coupons Web Specials FAQ Resources Prices/Fees Order Form Shopping Cart
Besides the above content choices, are there additional pages to be included?
Logo and Graphics (check all that apply)	Company logo will be provided Would like a custom logo designed Use stock graphics (no addl chrg) Photos or graphics need resizing and optimization for web use. Other
Text Content	Text content will be provided in digital form (i.e. Word doc, Email, Text file) Text web content will need to be typed (additonal cost of $65 per hour)
Likes and Dislikes
Please list at least three web sites that you admire or enjoy visiting. This will give us an idea of what you would like for your own site.
Please list any web sites that you do not like - maybe they are difficult to navigate, too cluttered or busy, or just take too long to download. Please list the reason also if possible.
Do you like any particular color or color scheme? (i.e. blue and gold, red and black, etc.)
Are there any colors or color schemes you dislike?