>> C O N T A C T I N F O <<

Required Fields for contents

Please fill out the form below with your EMAIL ADDRESS for a proposal request or project estimate.


Please communicate your needs or ideas clearly so I can better provide
you correct consultation and price quotes. Complete all form elements
that pertain to the project for which you are inquiring, and leave anything
not applicable to your project blank. Any personal information that you
provide will remain confidential.




C O N T A C T I N F O
 
 
Postal Address:.
HA Visual Machine 4 less WebDesign
P.O. box 4121
Oceanside, CA 92056
Phone:.
760.630.3320
Cell:.
760.224.ACOX
 
Business Hours:.
Mo-Fri 6:00 AM to 6:00 PM Eastern Time Zone
Sa-Sun: Closed Holidays: Closed


Required via email address
Your comments are appreciated!
Just complete this form. And click on [Submit] at the bottom of page when ready to send.

 
First Name:
Last Name:
Telephone Number:
Company Name:
Company Address:          Street and #  
                                                          City 
                                                        State   Zip Code 
Type of Company:
URL:
Description of Project:

Project Deadline:
Online Status: New Site    Existing Site
What are the goals for your project?
Do you have a logo? Yes    No
Do you need a logo? Yes    No
Who is your target audience?
What sort of look and feel do you
want (style, colors, message, identity)?
do you have a link to a site you like?
How many pages will your
website be?


How many photographs will
there be?

Do you have any fonts and/or
graphics that you'd like to use?
Do you have a domain name?

 Yes    No

Would you like me to register a
domain name for you?

 Yes    No
Do you have a web host?
 Yes    No
Would you like me to find a web
host tailored to suit your needs?

 Yes    No
Will this be an e-commerce
website with a shopping cart?

 Yes    No
If so, how many items would you
like to sell from your website?
What kinds of features and special
functionality are desired?
     

What content will you need to provide
me with (text, graphics, photos, logo,
etc.)?

What is your budget for this project?
Please offer any additional.

information that would be helpful.


Thank you!

Cory Atkinson (WEBDESIGNER)