Lucille Design



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



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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.

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

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
How did you hear about us? Search Engine		Which one?
Internet Banner		What Website?
Print Ad		Which paper?
Word of Mouth		Who?

Additional Information:
Enter the code as it is shown below:

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