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Email : info@neocomdesign.com

Quote Request Form


    Please specify in this form the services you need. Fields marked with an asterisk are required.

    YOUR CONTACT INFORMATION

    Name*

    Phone*

    E-mail*

    State/City (optional)

    DOMAIN NAME REGISTRATION SERVICES

    Do you need domain name registration services?*
    YesNo

    If Yes, please specify preferable domain extension. (Or leave this field blank if you don't know what to specify)

    HOSTING SERVICES

    Do you need hosting services for a new website? *
    YesNo

    Do you need hosting services for an existing website? *
    YesNo

    LOGO DESIGN SERVICES

    Do you need logo design services?*
    YesNo

    If Yes, please outline any specific requirements for the logo. (Or leave this field blank if you don't know what to specify)

    WEBSITE DESIGN SERVICES

    Do you need website design and development services?*
    YesNo

    If Yes, please outline specific goals and requirements for the website design project. (Or leave this field blank if you don't know what to specify)

    Please outline the major objectives/functions of your Website

    Sell your products/services online with credit card payment accepting (e-commerce)Just offer your products/services without credit card payment acceptingOther, please specify

    Do you have image/graphic content ready for your Website?*
    YesNo

    Do you have text content ready for your Website?*
    YesNo

    Do you have a need to have your Website in multiple languages?*
    YesNo

    If Yes, please specify the languages

    Please specify an estimated budget for your project (optional)

    Please specify the deadline for your project (optional)