Storefront and Website Design, Promotion and Hosting Quality Web Design Services
Please complete the following:

Customer Information:
Full Name(Required)
Address 1
Address 2 (Optional)
City
State/Province
Country
Zip/Postal Code
Day Phone Number
Fax Number (Optional)
Email Address(Required)

Please indicate the level of web presence you desire?

Web Ad
Web Page
Web Site
Storefront

What would you
like done?		 Create a site from scratch
Re-Design current site
Banner Design
Web Promotion
Maximum Budget for this project:
Estimate Number of Pages (Approximate):
Number of images to be scanned (Approximate):
When do you want to start?
URL's of other sites you like:
Description of project (More detail will allow a better quote)
Number of Products:
OPTIONS: Use Saftek's Secure Server
Use Paypals
Accept Credit Cards
Register a Domain
Promote Your Web Presence

Any comments or questions?


Thank you for your interest!