Bayou Electronics

~ August 5, 2010 ~

I am currently designing a website for a local store.

~ June 16, 2010 ~

Recently did a site design & cms upgrade to wadesteenieweenies.com

Contact Name:

Company Name:

City/State:

Phone:

Email Address:

How would you
prefer to be
contacted?

Phone

Either

If you currently
have a website,
please supply the
website address
here

Will you need a
domain name
registered for your
website?

Will you need
hosting for your
website?

Please supply the
name and website
address for a hosting
company if you
answered no in the
last question:

Approximately how
many pages will you
need other than the
pages used to display
your products?

Approximately how
many products will
you need us to enter
during initial
development? (if
an ecommerce website):

Project
Description:

Project Budget:

Are there any existing
websites that closely
match the functionality
and/or design style you
wish to have for your
new website?:

How did you
hear about us?