For a free quote on your web site needs, please fill out the form below. We will respond within 24-48 hours to give you a quote or to get more information.

All information submitted on our forms is private. We do not resell names or e-mail addresses.

All fields marked with an asterik are required.

Contact Information
* Name:
Phone: ( ) -
(International Numbers, put phone number in additional info box.)
* E-mail Address:
Business Name:
(If Applicable)
Additional Contact Information:

Web Site Requirements
* Which of our services are you interested in?

 Web Site Design
 Web Site Redesign
 Web Site Maintenance
 Web Site Programming
 Search Engine Optimization

Are you interested in our packages? More Info Starter Web Site
Small Business Web Site
Standard Business Web Site
Corporate Business Web Site
E-commerce Web Site
What information will you need on your site?
(Check all the apply.)
About Us
Product Information
Online Order Form
Printable Order Form
Survey Form
Online Poll
FAQ (Frequently Asked Questions)
Online Newsletter
Contact Info/Form
Feedback/Comments Form
How many total pages?
What "image" do you want your web site to project?
Corporate Classic
Professional Modern
Small Business Elegant
Trendy Conservative
Established Bold
Friendly Exciting

What 3 web sites match what you are looking for in your own design? Please provide any details as to why.

What 3 web sites do you not like? Please provide any details as to why.


E-commerce Site Requirements
How many products will you sell?
How many options will each product have?
(i.e. size, color, etc.)
Will there be special instructions?
(i.e. gift wrap, inscriptions, gift cards included)
Do you have a merchant account to process credit cards? Yes
Will you use a third party credit card processor?
(Example: PayPal)

Hosting Requirements
Do you need web site hosting? Yes
If you currently have a host, what is the name of the company?

Domain Name Requirements
If you currently have a web site, what is the domain name? www. .
If you don't have a web site domain name, will you need us to register one for you?


www. .

Maintenance Requirements
Will you need to update your web site? Yes
If yes, how often?

General Project Information
* What is your budget for your site?
* What is your estimated completion date for this project? /   (MM/YY)
What screen resolution do you use? 640x480   800x600
1024x768 Higher
What is your primary browser? Internet Explorer Opera
Netscape  Mozilla
AOL        Other
Which of the following computers do you use to view the internet? PC

Additional Info / Comments
How did you find LightSPARK Digital?
Please list at least 20 words that best describe your business and/or services?
Please supply any additional information, comments, or questions you have in regards to this project.

Privacy Policy: We take your privacy very seriously and we will never sell, rent or otherwise distribute the information you submit on our web site. You can rest assured that your personal information, including your email address, will be kept in strict confidence.