Estimate Request Form

Please supply as much detailed information as possible.

Please complete all information boxes below. Once we know what you need you will receive an Email Estimate for the services you indicate. (Be sure to read our Terms of Service so you understand what is and is not allowed on our servers.)

We will contact you via Email if we need further information from you in order to give you as accurate an estimate as possible.

Name:


Email:


Work Phone:


Business Name:


Type of Site:
Select One MERCHANT Website ACCEPTING Credit Cards MERCHANT Website NOT Accepting Credit Cards SERVICE Website ACCEPTING Credit Cards SERVICE Website NOT Accepting Credit Cards Personal and/or Informational Website Only Other (Explain Below)

Items To Include in Site:
Select One Interactive Forms Shopping Cart Threaded Discussion Board More Than One CGI/Perl Script including Shopping Cart More Than One CGI/Perl Script NO Shopping Cart Text and Pictures Only Other (Explain Below)

Briefly describe your site below and add any other information not listed in the above drop-down boxes.

Design & Maintenance Fee:  $35/Hour for WebJocky Clients     $35/Hour for Clients who Host elsewhere

This is over and above the cost of your monthly Hosting Fee (actual space on the server)

This Includes . . .
Initial Set-up & Maintenance
PDF/Logo/Photo Scans
CGI  DHTML  PERL
UNLIMITED Hyperlinks
Site Stats and Hit Counter
Submission to the Top 10 Search Engines

If you have any problems with this form, please let us know at webmaster@webjockey1.com