Simple Designs for Simple Minds

Thank you for requesting our services to build your new website. Please fill out this form to get started:

(NOTE: Submitting this form does not automatically make you a client. You will not be charged any fees until we contact you to finalize the deal.)

Warning: Undefined array key "badcap" in /var/www/html/live/SimpleDesigns.com/prospect.php on line 82

My web site may be a "dynamic site" (examples include sites with user logins, sites where users can customize the layout of their "home page", sites that display a large number of items you sell, sites with a search box or shopping cart.) (We will discuss this on the phone when we call you. Also, see prices page for fees.)
Your First Name
Your Last Name
Your Company's Name
Address
Address line 2
City
State
Zip
Home Phone #
Cell Phone #
Other Phone #
The Primary Email Address at which we would contact you
Describe in detail what your new website would be
What is the best day and time to call you to discuss this:
I already own a domain name. It is:
I would also like a subdomain of webdes.co to redirect to my existing domain name (for no extra charge). (for example: xxxxxx.webdes.co)
I want to get a domain name. I want my site's URL to be a subdomain of your webdes.co domain (for example: xxxxxx.webdes.co) I want a domain name, and I want a webdes.co subdomain to redirect to it (no extra charge)
I want to register the domain myself. I want you to register the domain for me and handle the technical details like DNS configuration. (see prices page for the fee for this service)
What do you want for your webdes.co URL:	.webdes.co
Preferred Domain Name
Second Choice for Domain Name
Third Choice for Domain Name
Fourth Choice for Domain Name