Lucille Design logo Who do you want to create your online presence?

PO Box 2771  Berkeley, CA 94702       510.548.5753       Fax 510.548.5482       info@lucilledesign.com

Lucille Design logo

COMPANY SERVICES CLIENTS PORTFOLIO CONTACT RESOURCES

Contact Us

Inquiry Form

If you are inqiring about a project other than webdesign, please be sure to include your particulars in the additional information box at the bottom of this form.

PERSONAL INFORMATION:
Name:  
Email:  
Company:  
Address:  
City:   State:   Zip:  
Telephone:       Fax:  


WEBSITE INFORMATION:
Do you have an existing site?   Yes     No
  If yes, what is the URL?  
Is this the site you want redesigned?   Yes     No

Is there a completion date for this project?  

Yes     No    

Target date:  

Is there a budget for this project?   Yes     No     Estimated budget:  

Will you be needing someone to maintain this site?  

Yes     No
  How often do you foresee updates or changes?  

How would you like us to contact you?  

Phone     Email     Postal Mail

REFERRAL INFORMATION:

How did you hear about us?   Search Engine

Which one?


Internet Banner

What Website?


Print Ad

Which paper?


Word of Mouth

Who?


ADDITIONAL INFORMATION:
Anything else we should be aware of?

DISCOUNT CODE:
Do you have a Promotional Code?  

SECURITY CODE:

Enter the code as it is shown here:



  

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Specializing in non-profits, small business, individual artists and philanthropy groups.