This document is a design proposal form from Web Design by Kimberly for creating a website. It outlines standard website packages starting at $250 for up to 5 pages. Additional services like hosting, domain registration, forms, updates and shopping cart configuration are available for extra fees. The form requests information from the client like business details, site specifics and graphics to begin the design process.

1. webdesignbykimberly.com
info@webdesignbykimberly.com
PHONE: 919.302.7641
FAX: 610.673.3674
Durham ♦ North Carolina ♦ 27703
DESIGN PROPOSAL FORM
(No obligation)
PLEASE COMPLETE AND SIGN THIS FORM: You may print and complete this form and then fax it to the
fax number above or complete it by computer and send it by e-mail. If completing the form on your
computer, where options are indicated, please indicate your selections by using Word’s highlighting feature
to highlight your choice. Don’t forget to save your changes before e-mailing. Thanks!
Full Name:
Address:
E-mail address:
Phone number:
Company’s name:
Type of Business:
TYPE OF WEB SITE: Select which type of site you would like and indicate approximate number of pages.
o Business web site
o Personal web site
o Non-profit web site
Approximate # of pages _________ (A Standard Web Site is up to 5 pages. Additional pages
beyond the specified 5 pages are $10.00 per page.)
STANDARD WEB SITE PACKAGE: Price of the Standard Web Site is $250.00. This includes up to
5 pages, words of text (supplied by the client, 200 words per page approximate maximum), up to
15 graphics/photos (client provides), colorful bullets and lines, link to your e-mail, links to external pages,
1 simple form (up to 12 fields) with results sent to your e-mail account, and submission to search engines
(no guarantee of placement). A $125.00 deposit is required to begin the web design and the balance is due
upon completion. Failure to pay the balance results in forfeiture of your deposit. Additional web pages
beyond the specified 5 pages will be at a cost of $10.00 for each additional page. Additional graphics
beyond the 15 graphics/photos specified will be at a cost of $4.00 for each additional graphic/photo.
Additional simple forms beyond the 1 form specified will be at a cost of $10.00 for each additional form, plus
$10.00 for an additional page, if an additional page is required.
• Web Hosting: (Additional charge) In order to publish a web site online, you need a web host. A web
host stores all the pages of your web site and makes them available to computers connected to the
Internet. Through WEB DESIGN by Kimberly’s preferred web hosting service provider, the cost is
$86.00/yr. This fee is required to begin the web design project.
Yes No

2. • Domain Name Registration: (Additional charge) Reserving a unique address to be used to refer to
your web site. Through WEB DESIGN by Kimberly’s preferred domain service provider, the cost is
$10.00/yr. This fee is required to begin the web design project. If yes, please give names for domain
name in order of preference, i.e., www.yourbusiness.com
Yes No
1)
2)
3)
Note: Web design prices do not include the cost of web hosting or the cost of domain name
registration. These services are contracted through a separate company. The prices reflected above are
through WEB DESIGN by Kimberly’s preferred hosting and domain service provider. WEB DESIGN by
Kimberly can set both of these services up for you for the above-listed fees. These fees are required to
begin the web design project. If you choose to select your own domain name service provider and hosting
service provider, your completed web site will be delivered to you on diskette.
~ OPTIONAL EXTRAS ~
• Forms: One (1) simple form (up to 12 fields) is included in the Standard Web Site, so if you would like
a form, please use the space below to describe the type of form and the information you want collected
in the form, e.g., name, address, e-mail, etc. Any additional forms will cost $10.00 ea. plus $10.00 for
an additional page if an additional page is needed. Please indicate type of form and information to be
collected for any additional forms.
Yes No
• Site Updates without Yearly Agreement: (Additional charge, calculated for actual time spent at a
rate of $10.00/hour) If yes, in the space provided please indicate the type of changes or updates that
will be need and approximately how often they will be needed.
Yes No
• Site Updates under Yearly Maintenance Agreement: (Additional charge of $40.00 per year) Two
(2) changes per month to existing content including updating links and making minor changes to
sentences and paragraphs. It does not include change to design, adding pages, or removing nearly the
entire text and replacing it with new text. Charges for web site updates and changes beyond those
limits and without the yearly maintenance agreement will be calculated for actual time spent at a rate of
$10.00 per hour, as specified above.
Yes No
• Shopping Cart Configuration: (Additional charge of $50.00 for configuration, plus $5.00 per item
added to shopping cart) Do you have an item or a few items (no more that 5, please) to sell? PayPal
offers a FREE shopping cart which accepts online payments for your web store. I can configure PayPal
Shopping Cart and have your customers returned to your site after making a purchase. Adding items to
PayPal cart is an additional $5.00 per item.
Yes No

3. WEB SITE SPECIFICS: Please indicate by filling in the following:
Web Site Name:
Color Preference:
Navigation: Do you prefer the navigation buttons at the top of the pages or in the left column?
Top Left
Page Titles: Fill in the page titles you would like in the order that you would like them to appear.
Page 1:
Page 2:
Page 3:
Page 4:
Page 5:
Page 6:
Page 7:
Page 8:
Page 9:
Page 10:
• May I include a link at the bottom of the welcome page, which reads “Web site designed by WEB
DESIGN by Kimberly”? Yes No
• Use the space provided for further comments or instructions:
PHOTOS/GRAPHICS: Please submit any pictures or special graphics via e-mail that you want included on
the site (a maximum of 15 pictures/graphics, additional pictures may be included for a charge of $4.00 for
each additional picture). Please do not submit any graphics that are copyrighted. Please make sure all
pictures are saved in jpg format. Logos or graphics may be submitted in either jpg or gif format.
Please submit any other additional information or content you would like included, such as a mission
statement, products, price lists, services, and hours of operation, etc.
WEB DESIGN by Kimberly reserves the right to decline the designing and publishing of any material it
deems to be inappropriate or contrary to the image it wishes to portray. Pornographic materials will not be
published.
Note: Design of your web site will only begin once you have signed the “Web Design Contract” and an
agreed upon start date is set. Please allow at least 30 days from the start date agreed upon in the signed
contract for completion of your web site.
~ Please save your changes to this document before e-mailing. Thank you! ~
e-mail: info@webdesignbykimberly.com
* PRICES SUBJECT TO CHANGE WITHOUT NOTICE *