The PcComputerGuy

Customer Request Form

Website Creation

Want a custom designed website? Need an example of my abilities? Look around this site!

It is important to understand custom websites may take a long time to create. A site such as this has taken over 100 hours to create the graphics, the programing, setting up of the domain, forms such as below etc. A basic website can take as little as 2-5 hours. It all depends on your needs, desires and expectations. In this day in age, if you don't have a website, your being left behind. I believe a good presentation is important to attracting customers to your business.

Rate: $50/Hour

Contact Information:

First Name:
Last Name:
Phone (Include Area Code):
Address:
(apt/unit/space):
City:
State:
Zip:
E-Mail:
Instant Messenger: (MSN, AOL/AIM, Skype)
Preferred Contact Method:

Desired Website Information

Sample Website	(Enter a website here that has a simular look or feel to what you have in mind.)
Existing Site (if available):
Describe Your Site:

I will contact you promptly to discuss estimates on how long it would take to complete what you desire, and to get futher details.

Best Time to reach you: