Request Forms Design Quotation

T. Stephen Eggleston

Trading As
The Eggleston Group

Request for Interactive Forms Development Information

About Your Forms Requirements

Approximate Number of Text Fields:

My form will have approx Radio Buttons in groups.

My form will have approx Check Boxes

My form will have approx Narrative Comments Fields

My form will have approx Drop-Down Lists with a total of Items.

My form will do calculations. (Order Totals, etc) Yes No

My Form Will Send E-Mail in: NONE HTML Plain Text Both

My form will save it's output to a database. Yes No

My form will need to upload files from the visitor's computer. Yes No

My form will need to use Secure Encryption. (shttp) Yes No

My form will need to interact with a Payment Processing Service. Yes No

I am not sure of my needs, please contact me to discuss them.

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