Information Form
Privacy Statement
Terms and Conditions
Based on the following information, we can provide guidelines and a price range for developing your Website. Please read the privacy statement and terms and conditions. Please call (860) 417-3198 with questions or personal assistance. Fields marked with * are required for submission.
*Name
Title
Business Name
Street Address
City
State
Zip Code
Phone Number
Fax Number
*e-Mail
Services required:
(Please check all that apply)
New Website
Update Existing Website
Maintenance
Database Integration
Logo Design
Multimedia
E-Commerce
Virtual Tour
Do you have a registered Domain?
Yes
No
What's your web address?
Number of menu items
Please Select:
Less than 5
5 to 10
11 to 15
16 to 30
more than 30
*When do you want to begin your project?
Please Select:
Immediately
1 week
2 weeks
1 month
6 weeks or more
*What is your budget?
Please Select:
Under $500
$500 to $1,200
$1,200 to $1,500
$1,500 to $3,000
$3,000 to $5,000
$5,000 to $10,000
$10,000 to $15,000
over $15,000
Comments & Ideas
BoldIT, Watertown, CT, (860) 417-3198,
email
: boldit@boldit.com
Copyright © 2003-2007, Boldit.com, All Rights Reserved
Terms and Conditions
Privacy Policy
Rev. Feb. 2007
Terms
and Conditions Privacy
Policy Rev.
Feb. 2007