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Thank you for considering Southwest Basics Internet Solutions! We would love to assist you with
your small business website, home-based business website, personal website, just for
fun website
, e-Commerce website, website maintenance,
and/or your website banner design!

To help us with custom designing your website to your needs, your image and your style,
please fill out our FREE Quote Form giving us as many details as possible.
We will review your submission and contact you quickly with
a website specification worksheet and proposal.

We value your privacy - all information is kept confidential.

*Your Full Name:

*Company Name:

*Daytime Phone Number:

*Email Address:

Current Website URL:

Please describe your company/organization in a few sentences:

Which service would you like a quote for?

*What kind of budget did you allocate for your website?

What type of information do you want to include on your website? Please select all that apply.

Home/Introduction Page
Customer Service Information Page
About you/your Company
Product Information Page/Pages
What's New Page
Frequently Asked Questions Page
Online Newsletter Page
Tips, Hints or Useful Information Page/Pages
Links to Related Businesses Page
Contact Details Page
Service Information Page/Pages
Other Page/Pages

Will the website be selling anything (products or services), if so, how many?

How Do You Plan to Accept Payments?

Domain Information:

Southwest Basics offers website hosting to their clients - would you like more information regarding our website hosting packages?

What type of company image do you want your website to convey?

Please describe the website of your dreams.

Please list the web addresses of 4 websites you like and/or dislike.(Please tell us what you like and dislike about these websites.)

What is your time frame for launching your website?

Please tell us anything else we need to know about your website.

How did you find Southwest Basics?

 
*required information
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PO Box 43254 ~ Phoenix, AZ 85080 ~ 602-509-4944