REQUEST INFO


If your browser doesn't support forms, or the form will not post, please
or call us at 440-951-3233. Thanks!

To request a review, quotation, or other assistance, please fill out the form below (fields with an asterisk * are required). All information provided to Web Refinements shall remain confidential.

We will never sell, trade, or exchange email addresses or other information with third parties unless specifically authorized by the client.

If you want Web Refinements to provide a quotation, we will need more information than collected below, and ask you to please fill out our Online Survey instead.

If you need brochures, catalogs, specifications, trade show display, or logo designs, please fill out our Print Design Request.

Information Request

*Name:

Title:

Company:

Address (mail):

Address (street):

City:

State or Province:

Zip Code:

*Telephone:

Fax:

*E-mail:

Services of interest:

  Please provide a FREE search position report

  We are interested in search engine optimization and web promotion for a current site

  We are interested in a new site design or redesign

  We are interested in redesign of an existing site

  We are interested in site maintenance

  We are interested in site hosting

  We are interested in having you check our site for broken links

  We need web site maintenance services

Print, ad, trade show display, or logo design services

*URL if you have a site:

Understanding your requirements:

Is this a business site? Yes No
Is this a non-profit organization site? Yes No
Is this a new site? Yes No

What products or services do you offer?

Who is your target audience (business to business, consumers, etc.)?

What do you want it to accomplish with a new site or other marketing materials?


Please add any other comments or questions below:

To help to prevent robot-triggered submissions, please enter the case letters and numbers in the image code below into the security text field (must match):

Security Image: CODE HINT: number five, letter E, letter Y, letter V, number eight, letter K change image

Please re-enter the security code shown above:

CODE HINT: number five, letter E, letter Y, letter V, number eight, letter K

   

Contact us and tell us your needs.

We'll follow-up with a phone call.

After discussing your goals and needs we will e-mail you a proposal.

Cleveland Office:
P. O. Box 1420
Willoughby, OH 44096-1420
440-951-3233

Cincinnati Office:
P. O. Box 9236
Cincinnati, OH 45209-9236
513-271-2024


Blitz Media Design is a trade name of Web Refinements LLC.
All Rights Reserved.