<p>Thank you for submitting a quote request! We have worked hard to streamline this process, but in order to give you a detailed proposal we need some information to get started. All fields are required so that we can really understand your needs and better serve you.</p>
<table width="500" cellpadding="2" cellspacing="0" class="large_tbmain" summary="Web Site Request Form">
<tr><td class="topleft" width="10" height="10"> </td>
<td class="topmid"> </td>
<td class="topright" width="10" height="10"> </td>
</tr>
<tr>
<td class="midleft" width="10"> </td>
<td class="midmid" valign="top">
<form action="http://jotform.com/submit.php" method="post" name="q_form_82671812353">
<input type="hidden" name="formID" value="82671812353" />
<div id="large_table_main">
<input type="hidden" id="spc" name="spc" value="spc" />
<script type="text/javascript">
document.getElementById('spc').value = '626298dd86665e2bf4e1cffc89782121';
</script>
<table width="500" cellpadding="5" cellspacing="0" summary="Web Site Request Form">
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>Purpose of web site <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<textarea cols="45" rows="6" name="q15_Purposeofwebsite" class="text" id="q15" onblur="validate(this,'Required')" ></textarea>
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>Who is your primary or target audience <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<textarea cols="45" rows="6" name="q17_Whoisyourprimaryorta" class="text" id="q17" onblur="validate(this,'Required')" ></textarea>
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>Please list some ideas you have and likes/dislikes: <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<textarea cols="45" rows="6" name="q11_Pleaselistsomeideaso" class="text" id="q11" onblur="validate(this,'Required')" ></textarea>
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>Check all that apply <span class="required">*</span></label>
</td>
<td valign="top" class="large_form_td_right">
<input type="checkbox" name="q18_Chackallthatwillappl[]" class="other" id="q18_0" value="Forum or Message Board" onblur="validate(this,'Required')" />
<label class="table_left_lable">Forum or Message Board</label> <br />
<input type="checkbox" name="q18_Chackallthatwillappl[]" class="other" id="q18_1" value="Content Management" onblur="validate(this,'Required')" />
<label class="right_table_lable">Content Management</label> <br />
<input type="checkbox" name="q18_Chackallthatwillappl[]" class="other" id="q18_2" value="Blog" onblur="validate(this,'Required')" />
<label class="right_table_lable">Blog</label> <br />
<input type="checkbox" name="q18_Chackallthatwillappl[]" class="other" id="q18_3" value="Dynamic Forms" onblur="validate(this,'Required')" />
<label class="right_table_lable">Dynamic Forms</label> <br />
<input type="checkbox" name="q18_Chackallthatwillappl[]" class="other" id="q18_4" value="Flash" onblur="validate(this,'Required')" />
<label class="right_table_lable">Flash</label> <br />
<input type="checkbox" name="q18_Chackallthatwillappl[]" class="other" id="q18_5" value="Video" onblur="validate(this,'Required')" />
<label class="right_table_lable">Video</label> <br />
<input type="checkbox" name="q18_Chackallthatwillappl[]" class="other" id="q18_6" value="Image Gallery" onblur="validate(this,'Required')" />
<label class="right_table_lable">Image Gallery</label> <br />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>Number of pages <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<input type="radio" class="other" name="q14_Numberofpages" id="q14_0" value="3 5" onblur="validate(this,'Required')" />
<label class="right_table_lable">3-5</label> <br />
<input type="radio" class="other" name="q14_Numberofpages" id="q14_1" value="5 10" onblur="validate(this,'Required')" />
<label class="right_table_lable">5-10</label> <br />
<input type="radio" class="other" name="q14_Numberofpages" id="q14_2" value="CMS or E commerce Site with unlimited Pages" onblur="validate(this,'Required')" />
<label class="right_table_lable">CMS or E-commerce Site with unlimited Pages</label> <br />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>I will need <span class="required">*</span></label>
</td>
<td valign="top" class="large_form_td_right">
<input type="checkbox" name="q21_Iwillneed[]" class="other" id="q21_0" value="Stock Photography" onblur="validate(this,'Required')" />
<label class="right_table_lable">Stock Photography</label> <br />
<input type="checkbox" name="q21_Iwillneed[]" class="other" id="q21_1" value="Custom Photography" onblur="validate(this,'Required')" />
<label class="right_table_lable">Custom Photography</label> <br />
<input type="checkbox" name="q21_Iwillneed[]" class="other" id="q21_2" value="Illustration" onblur="validate(this,'Required')" />
<label class="right_table_lable">Illustration</label> <br />
<input type="checkbox" name="q21_Iwillneed[]" class="other" id="q21_3" value="Video Conversion for web" onblur="validate(this,'Required')" />
<label class="right_table_lable">Video Conversion for web</label> <br />
<input type="checkbox" name="q21_Iwillneed[]" class="other" id="q21_4" value="Text Written" onblur="validate(this,'Required')" />
<label class="right_table_lable">Text Written</label> <br />
<input type="checkbox" name="q21_Iwillneed[]" class="other" id="q21_5" value="None I have my images and text for all pages already " onblur="validate(this,'Required')" />
<label class="right_table_lable">None (I have my images and text for all pages already)</label> <br />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>Please give us an idea of the materials you have gathered for use on your web site such as images, text, video etc.</label>
</td>
<td class="large_form_td_right" >
<textarea cols="45" rows="6" name="q19_Pleasegiveusanideaof" class="text" id="q19" ></textarea>
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>What is a reasonable timetable for your work to be completed? <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<input type="radio" class="other" name="q23_Whatisareasonabletim" id="q23_0" value="2 weeks" onblur="validate(this,'Required')" />
<label class="right_table_lable">2 weeks</label> <br />
<input type="radio" class="other" name="q23_Whatisareasonabletim" id="q23_1" value="3 weeks" onblur="validate(this,'Required')" />
<label class="right_table_lable">3 weeks</label> <br />
<input type="radio" class="other" name="q23_Whatisareasonabletim" id="q23_2" value="4 weeks" onblur="validate(this,'Required')" />
<label class="right_table_lable">4 weeks</label> <br />
<input type="radio" class="other" name="q23_Whatisareasonabletim" id="q23_3" value="5 weeks" onblur="validate(this,'Required')" />
<label class="right_table_lable">5 weeks</label> <br />
<input type="radio" class="other" name="q23_Whatisareasonabletim" id="q23_4" value="6 weeks" onblur="validate(this,'Required')" />
<label class="right_table_lable">6 weeks</label> <br />
<input type="radio" class="other" name="q23_Whatisareasonabletim" id="q23_5" value="7 weeks" onblur="validate(this,'Required')" />
<label class="right_table_lable">7 weeks</label> <br />
<input type="radio" class="other" name="q23_Whatisareasonabletim" id="q23_6" value="8 weeks" onblur="validate(this,'Required')" />
<label class="right_table_lable">8 weeks</label> <br />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" >
<label >Your Name: <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<input type="text" size="30" name="q12_YourName" class="text" value="" id="q12" onblur="validate(this,'Required')" maxlength="100" />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" >
<label >Email Address <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<input type="text" size="30" name="q13_EmailAdress" class="text" value="" id="q13" onblur="validate(this,'Required')" maxlength="100" />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" >
<label >Phone Number <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<input type="text" size="30" name="q20_PhoneNumber" class="text" value="" id="q20" onblur="validate(this,'Required')" maxlength="100" />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>Preferred form of contact <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<input type="radio" class="other" name="q22_Preferedformofcontac" id="q22_0" value="I would like a phone call " onblur="validate(this,'Required')" />
<label class="right_table_lable">I would like a phone call.</label> <br />
<input type="radio" class="other" name="q22_Preferedformofcontac" id="q22_1" value="I would like to be emailed " onblur="validate(this,'Required')" />
<label class="right_table_lable">I would like to be emailed.</label> <br />
<input type="radio" class="other" name="q22_Preferedformofcontac" id="q22_2" value="I would like a meeting " onblur="validate(this,'Required')" />
<label class="right_table_lable">I would like a meeting.</label> <br />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="left" >
</td>
<td class="large_form_td_right" >
<input type="submit" class="btn" value="Submit" />
</td>
</tr>
</table>
</div>
</form>
</td>
<td class="midright" width="10"> </td>
</tr>
<tr>
<td class="bottomleft" width="10" height="10"> </td>
<td class="bottommid"> </td>
<td class="bottomright" width="10" height="10"> </td>
</tr>
</table>
<script type="text/javascript">
validate("q_form_82671812353");
</script>
2008-09-24T08:31:03-04:00
web-site-request
423982
2008-09-24T08:31:03-04:00
4536
Web Site Request Form
2008-09-29T12:34:28-04:00
Thank you for submitting a quote request! We have worked hard to streamline this process, but in order to give you a detailed proposal we need some information to get started. All fields are required so that we can really understand your needs and better serve you.
<notextile>
<table width="500" cellpadding="2" cellspacing="0" class="large_tbmain" summary="Web Site Request Form">
<tr><td class="topleft" width="10" height="10"> </td>
<td class="topmid"> </td>
<td class="topright" width="10" height="10"> </td>
</tr>
<tr>
<td class="midleft" width="10"> </td>
<td class="midmid" valign="top">
<form action="http://jotform.com/submit.php" method="post" name="q_form_82671812353">
<input type="hidden" name="formID" value="82671812353" />
<div id="large_table_main">
<input type="hidden" id="spc" name="spc" value="spc" />
<script type="text/javascript">
document.getElementById('spc').value = '626298dd86665e2bf4e1cffc89782121';
</script>
<table width="500" cellpadding="5" cellspacing="0" summary="Web Site Request Form">
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>Purpose of web site <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<textarea cols="45" rows="6" name="q15_Purposeofwebsite" class="text" id="q15" onblur="validate(this,'Required')" ></textarea>
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>Who is your primary or target audience <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<textarea cols="45" rows="6" name="q17_Whoisyourprimaryorta" class="text" id="q17" onblur="validate(this,'Required')" ></textarea>
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>Please list some ideas you have and likes/dislikes: <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<textarea cols="45" rows="6" name="q11_Pleaselistsomeideaso" class="text" id="q11" onblur="validate(this,'Required')" ></textarea>
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>Check all that apply <span class="required">*</span></label>
</td>
<td valign="top" class="large_form_td_right">
<input type="checkbox" name="q18_Chackallthatwillappl[]" class="other" id="q18_0" value="Forum or Message Board" onblur="validate(this,'Required')" />
<label class="table_left_lable">Forum or Message Board</label> <br />
<input type="checkbox" name="q18_Chackallthatwillappl[]" class="other" id="q18_1" value="Content Management" onblur="validate(this,'Required')" />
<label class="right_table_lable">Content Management</label> <br />
<input type="checkbox" name="q18_Chackallthatwillappl[]" class="other" id="q18_2" value="Blog" onblur="validate(this,'Required')" />
<label class="right_table_lable">Blog</label> <br />
<input type="checkbox" name="q18_Chackallthatwillappl[]" class="other" id="q18_3" value="Dynamic Forms" onblur="validate(this,'Required')" />
<label class="right_table_lable">Dynamic Forms</label> <br />
<input type="checkbox" name="q18_Chackallthatwillappl[]" class="other" id="q18_4" value="Flash" onblur="validate(this,'Required')" />
<label class="right_table_lable">Flash</label> <br />
<input type="checkbox" name="q18_Chackallthatwillappl[]" class="other" id="q18_5" value="Video" onblur="validate(this,'Required')" />
<label class="right_table_lable">Video</label> <br />
<input type="checkbox" name="q18_Chackallthatwillappl[]" class="other" id="q18_6" value="Image Gallery" onblur="validate(this,'Required')" />
<label class="right_table_lable">Image Gallery</label> <br />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>Number of pages <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<input type="radio" class="other" name="q14_Numberofpages" id="q14_0" value="3 5" onblur="validate(this,'Required')" />
<label class="right_table_lable">3-5</label> <br />
<input type="radio" class="other" name="q14_Numberofpages" id="q14_1" value="5 10" onblur="validate(this,'Required')" />
<label class="right_table_lable">5-10</label> <br />
<input type="radio" class="other" name="q14_Numberofpages" id="q14_2" value="CMS or E commerce Site with unlimited Pages" onblur="validate(this,'Required')" />
<label class="right_table_lable">CMS or E-commerce Site with unlimited Pages</label> <br />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>I will need <span class="required">*</span></label>
</td>
<td valign="top" class="large_form_td_right">
<input type="checkbox" name="q21_Iwillneed[]" class="other" id="q21_0" value="Stock Photography" onblur="validate(this,'Required')" />
<label class="right_table_lable">Stock Photography</label> <br />
<input type="checkbox" name="q21_Iwillneed[]" class="other" id="q21_1" value="Custom Photography" onblur="validate(this,'Required')" />
<label class="right_table_lable">Custom Photography</label> <br />
<input type="checkbox" name="q21_Iwillneed[]" class="other" id="q21_2" value="Illustration" onblur="validate(this,'Required')" />
<label class="right_table_lable">Illustration</label> <br />
<input type="checkbox" name="q21_Iwillneed[]" class="other" id="q21_3" value="Video Conversion for web" onblur="validate(this,'Required')" />
<label class="right_table_lable">Video Conversion for web</label> <br />
<input type="checkbox" name="q21_Iwillneed[]" class="other" id="q21_4" value="Text Written" onblur="validate(this,'Required')" />
<label class="right_table_lable">Text Written</label> <br />
<input type="checkbox" name="q21_Iwillneed[]" class="other" id="q21_5" value="None I have my images and text for all pages already " onblur="validate(this,'Required')" />
<label class="right_table_lable">None (I have my images and text for all pages already)</label> <br />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>Please give us an idea of the materials you have gathered for use on your web site such as images, text, video etc.</label>
</td>
<td class="large_form_td_right" >
<textarea cols="45" rows="6" name="q19_Pleasegiveusanideaof" class="text" id="q19" ></textarea>
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>What is a reasonable timetable for your work to be completed? <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<input type="radio" class="other" name="q23_Whatisareasonabletim" id="q23_0" value="2 weeks" onblur="validate(this,'Required')" />
<label class="right_table_lable">2 weeks</label> <br />
<input type="radio" class="other" name="q23_Whatisareasonabletim" id="q23_1" value="3 weeks" onblur="validate(this,'Required')" />
<label class="right_table_lable">3 weeks</label> <br />
<input type="radio" class="other" name="q23_Whatisareasonabletim" id="q23_2" value="4 weeks" onblur="validate(this,'Required')" />
<label class="right_table_lable">4 weeks</label> <br />
<input type="radio" class="other" name="q23_Whatisareasonabletim" id="q23_3" value="5 weeks" onblur="validate(this,'Required')" />
<label class="right_table_lable">5 weeks</label> <br />
<input type="radio" class="other" name="q23_Whatisareasonabletim" id="q23_4" value="6 weeks" onblur="validate(this,'Required')" />
<label class="right_table_lable">6 weeks</label> <br />
<input type="radio" class="other" name="q23_Whatisareasonabletim" id="q23_5" value="7 weeks" onblur="validate(this,'Required')" />
<label class="right_table_lable">7 weeks</label> <br />
<input type="radio" class="other" name="q23_Whatisareasonabletim" id="q23_6" value="8 weeks" onblur="validate(this,'Required')" />
<label class="right_table_lable">8 weeks</label> <br />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" >
<label >Your Name: <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<input type="text" size="30" name="q12_YourName" class="text" value="" id="q12" onblur="validate(this,'Required')" maxlength="100" />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" >
<label >Email Address <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<input type="text" size="30" name="q13_EmailAdress" class="text" value="" id="q13" onblur="validate(this,'Required')" maxlength="100" />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" >
<label >Phone Number <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<input type="text" size="30" name="q20_PhoneNumber" class="text" value="" id="q20" onblur="validate(this,'Required')" maxlength="100" />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="large_form_td_left" valign="top" >
<label>Preferred form of contact <span class="required">*</span></label>
</td>
<td class="large_form_td_right" >
<input type="radio" class="other" name="q22_Preferedformofcontac" id="q22_0" value="I would like a phone call " onblur="validate(this,'Required')" />
<label class="right_table_lable">I would like a phone call.</label> <br />
<input type="radio" class="other" name="q22_Preferedformofcontac" id="q22_1" value="I would like to be emailed " onblur="validate(this,'Required')" />
<label class="right_table_lable">I would like to be emailed.</label> <br />
<input type="radio" class="other" name="q22_Preferedformofcontac" id="q22_2" value="I would like a meeting " onblur="validate(this,'Required')" />
<label class="right_table_lable">I would like a meeting.</label> <br />
</td>
</tr>
<tr><td> </td></tr>
<tr >
<td width="150" class="left" >
</td>
<td class="large_form_td_right" >
<input type="submit" class="btn" value="Submit" />
</td>
</tr>
</table>
</div>
</form>
</td>
<td class="midright" width="10"> </td>
</tr>
<tr>
<td class="bottomleft" width="10" height="10"> </td>
<td class="bottommid"> </td>
<td class="bottomright" width="10" height="10"> </td>
</tr>
</table>
<script type="text/javascript">
validate("q_form_82671812353");
</script>
</notextile>