Unlike many of our competitors, CiPNET will be happy to provide a free no-obligation website estimate based on the information you provide. Please complete as much of the form as possible so that we can provide an accurate quote.

A representitive will contact you within 24 hours of receiving your quotation request.

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Please fill out the form below and click the submit button to send it.
A representitive will contact you shortly after receiving your email.

Contact Name:  
Company Name:
Contact Phone:  Ext: 
Email Address:    

Type of Services Required:

Estimated Website Size:
Promotional Materials:
Do you have any existing promotional material that we can use for the website (Example: logo, pamphlet, brochure, etc), or are we starting from scratch.

Website Budget:
Special Features:
A custom web form (like this one) allow you to collect specific information from a customer and have it delivered via email or stored in a database. Uses include: contact forms; registration forms; feedback forms; quote requests; etc.
Many website provide a "Frequently Asked Questions" page. Our FAQ Manager allows you to easily manage FAQ categories, questions and answers.  Visitors see an attractive, easy to read FAQ page that gives them the answers they are looking for.
Our News Manager provides site administrators the ability to easily manage news and annoucements on your site. In addition to displaying your company news on a dedicated page, we can also display recent headlines on the home page of the site.
This custom feature gives you the ability to manage a group of categories and associated database records.  This tool is extremely flexible and can be used for many purposes.
Example 1: Company 'A' wants to display a list of their products online.  This tool would allow them to add and remove product categories as well as individual product records.  Each product record might include a photo, title, size, etc.

Example 2: Company 'B' wants to display a list of their departments and current sales associates.  This tool would allow them to add and remove departments as well as sales associate profiles.  Each profile might include fields for a photo, name, email address, contact phone, and specialty.

Upload any type of document for customers or employees to access at any time.  This might include product manuals, order forms, installation guides, etc.  Documents can be uploaded in any common format including: Microsoft Word, Excel, Power Point, and Adobe PDF.
Visitors have the ability to select a single item for purchase and the payment process is integrated with a third-party payment processor such as PayPal or 2Checkout.
Visitors have the ability to add multiple items in a shopping cart. When a customer chooses to checkout, additional registration information can be collected prior to having a third-party payment processor complete the transaction.
This feature allows you to have a password protected section of the website where only certain people can access.  This might be used to post employee news, human resources forms, sales contest results, etc.
Allow your visitors to easily subscribe and unsubscribe to a mailing list.

How did you hear about us?
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Additional Notes:
Please describe the type of information you want to include in your website.

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