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Inquiry Form

Szalay Web Design is dedicated to working with you to achieve your aspirations through website design and placement.

Whether you are ready to order or just shopping, please fill out our form. You are under no obligation and you will receive an estimate based on a clearer understanding from the information supplied below. Please note that all information is optional and we will keep your information private.

Not sure how to go about having your website developed? Or need some guidance on what issues you need to consider? Contact us through our inquiry form below and we will be better able to serve you.

Business Name:
* Contact Person:
City:
State:
* Country:	USA United Kingdom Canada Australia New Zealand Italy Denmark Spain Netherlands Germany United Arab Emirates India ------------------ Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ashmore and Cartier Islands Australia Austria Azerbaijan Bahamas Bahrain Baker Island Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burma Burundi Côte D'Ivoire Cambodia Cameroon Canada Cape Verde Cayman Islands, BWI Central African Republic Chad Chile China Christmas Island Clipperton Island Clothing & Shoes Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Coral Sea Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica DominicanRepublic East Timor Ecuador Egypt El Salvador EquatorialGuinea Eritrea Estonia Ethiopia Falkland Islands (Islas Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia,The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See Honduras Hong Kong Howland Island Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Jan Mayen Japan Jarvis Island Jersey Johnston Atoll Jordan Kazakhastan Kenya Kingman Reef Kiribati Korea (South) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia,The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia,Federated States of Midway Moldova Monaco Mongolia Montserrat Morocco Mozambique Namibia Nauru Navassa Island Nepal Netherland Antilles Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palmyra Atoll Panama Papua New Guinea Paracel Islands Paraguay Peru Phillipines Pitcairn Islands Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Helena Saint Kitts And Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent And The Grenadines Samoa San Marino Sao Tome And Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa Spain Spratly Islands Sri-Lanka Sudan Suriname Svalbard Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad And Tobago Tunisia Turkey Turkmenistan Turks And Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay USA Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands (U.S.) Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Phone:
Zip:
* E-mail:

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What line of business are you in?
Do you have company flyers, brochures, or other literature?	Yes, I have them in PC format Yes, but not in PC Format No
Do you have a company logo, or other images and graphics?	Yes, I have them in PC format Yes, but not in PC Format No
Is this a new site or redesign of an existing one?	New Site Redesign
Current URL :

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Website Hosting	Yes No, I have a host Not Sure
Do you want to sell products online?	Yes No Not Sure
If Yes, about how many products?
Do you want to accept credit cards online?	Yes Just Paypal No Not Sure
Do you have a merchant account?	No I have one for offline sales Yes, and an online gateway Not Sure
Will you require maintenance for your site?	Yes, I want someone to do maintenance for me Yes, I want to do it myself Not Sure
If yes, how often?	Once a week Bi-weekly monthly Bi-monthly As needed
What is your website budget?	$500 $1,000-$2,500 $2,500-$5,000 $5,000-$10,000 $10,000-$15,000 $15,000-$20,000 over $20,000
How many pages do you plan?	1 1-5 5-10 10-20 20-
Please provide a description of your project including an approximate number of pages you will need:
Anti SPAM code :
Thank you! We will be in touch shortly.