Cohesion Media Quote Request Form
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Business Name
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Contact Name
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Phone
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Primary Email Address
Town/City
Website Design Services
Which Website Design Package would you like more information about?
Home-based Business
Growing Business
Corporate Business
Non-Profit/Charity
Other (please describe below)
Do you currently have a website?
Yes
No
If yes, what is your web address?
What pages would you want to include? (you can always add or remove pages later)
Home
About Us
Services
Products
Contact
Sitemap/Legal Disclaimer
Additional Pages
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What customized options are you interested in?
Flash - starting at $250
Content Management System - starting at $500
Photo Gallery - starting at $250
Embedded video - starting at $200
Embedded audio - starting at $200
Product database - starting at $2,000
Shopping Cart/eCommerce - starting at $1,500
SSL Certificate - starting at $400
Image Slideshow - starting at $200
Secure Log-in - starting at $250
Other: (Please describe)
Other: (Please describe)
Social Media Set-Up Package:
(includes set-up for 3 Social Media platforms)
Facebook
Twitter
LinkedIn
Flickr
YouTube
Social Media Maintenance Package:
(includes monitoring, maintenance, activity reports)
Facebook
Twitter
LinkedIn
Flickr
YouTube
Other: (Please describe)
Customization upgrade:
Yes
Details or Comments:
Graphic Design Services
What Graphic Design Services would you like more information about?
Logo Design
Logo Re-Creation
Website Brochure
Business cards - single side
Business cards - double side
Advertising Brochure
Single Panel Brochure (door knocker)
Letterhead & Envelopes
Posters
Menus
Programs/Invitations
Stickers
Signage
Vehichle decals/wraps
Other: (please describe)
0/255 characters
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