Website Development Questionnaire

PLEASE NOTE: Upon completing your request, an email will be sent to the email you enter below from New Business Development – KESHANDE Technology. If you do not see the email in your inbox, check your spam or junk mail folder. Please make sure is listed as a safe sender.

Your Information

Are you new to KESHANDE Technology?
Yes No

If this is your first time requesting a website quote from us, please answer Yes.
First Name:
Last Name:
Email Address:
Carbon Copy To:
You may enter multiple email addresses separated by commas.
###-###-#### Format
Zip Code:

How did you learn about KESHANDE Technology?


Promotional Code:

Did you know that you can earn easy cash for each web development referral you send to us?
Call 972-559-4932 to get listed as a referral source, and when your referral purchases a website through this online order process, we will send you a payment equal to 10% of the amount of the net value of their web design purchase (after expenses and/or restitution). It's as simple as that. This is just our way of saying THANK YOU for letting others know about KESHANDE Technology's Web Design Services.

Your desired or existing website address:

http:// (e.g.,

Tell us about your site. Write a brief summary describing your website design and/or application development needs:
*Be sure to include the titles of your web pages.   (e.g.: HOME, ABOUT US, CONTACT, etc.)

Max: 200 characters.
Confirmation Code
Enter Code Above

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