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Eclipse Website Design | 7201 Arrowwood Rd. Louisville, KY  40222 | 502-451-8042 | Hours: Mon-Fri. 10-8 jonance1@insightbb.com


Just fill out this form and I will send you an estimate of how long your page will take me, some things I will need from you, and finally how much this will cost you.  Thank you very much for your interest in my design work and I look forward to giving you the presence on the internet you have been looking for.

 

 

Your Name:

E-Mail Address:

Phone Number:

Your Business Name:

What does your business do?

Briefly describe the type of website you would like and about how many pages you think you would like....

Would you like to be able to manage the website yourself, via the internet?
Approximately how much are you looking to spend on the website?