MicroAge Client Referral

Complete this form to refer a client to Techlogical for website design, hosting and maintenance. Once complete, you will be presented with a quote.

1 Step 1

Your Contact Information

NameYour full name

EmailYour email address

Phone NumberYour contact number

Client Contact Information

Company NameClient's company name

Contact PersonClient's full name

Phone NumberClient's contact number

EmailClient's email address

Client Website Requirements

Note: We include hosting and maintenance for one (1) full year with any of the above services. After the free period, hosting and maintenance is $20/month for most standard websites and $30/month for eCommerce sites. For new websites, pricing/sign-up is available online at https://techlogical.net/shop/

DomainIf not available, enter NA or TBA

Rush Job?We require 3 - 5 business days to move/update an existing website. If required, this can be accomplished in 1 business day.

No (+ $0)Yes (+ $200)

CommentsAdditional details or requirements

0 / 2000

YOUR ESTIMATED COST

$[field1+field4+field2+field25]

reCaptcha v3

FormCraft - WordPress form builder

MicroAge Client Referral

Your Contact Information

Client Contact Information

Client Website Requirements

$[field1+field4+field2+field25]

Title