Custom Quote Form
If you are interested in having World Connect Design a site for you or your company, please fill out the questionnaire and someone will contact you promptly.

All web design work is quoted based on material submitted to World Connect. No job is to big or too small.

Name:
Company:
Phone:
Fax:
E-Mail:
Address:
City:
State/Zip:
   
Info 1:
Info 2:


Please Make Your Sections:
JavaScript
ActiveX
Java Applets
Animation
CGI
Forms

Would you require a domain to be registered? A domain is giving your site a unique name on the Internet, such as http://www.companyname.com:

Yes No

Would you require security, such as password protection on your site?

Yes No

Would you require custom graphics ?

Yes No


Description of requested ect:


Comments: