| P e r s o n a l
I n f o r m a t i o n (* = Required Fields) |
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| Contact name: |
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| Contact number: |
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| Company name: |
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| E-Mail address: |
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| Y o u r
W e b
D e s i g n
I d e a s |
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| What do you need: |
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| How many pages are needed: |
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| Do you need a domain name: |
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| Do you need hosting: |
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URL of your site (if existing):
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| What material can you supply: |
Hold "Ctrl" button down to
select more than one.
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List some sites you've seen that you like the look and
feel of: |
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List of template/s you like:
TemplateMonster |
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| Your price range: |
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| What is your level of experience with the internet: |
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| What is your level of experience with Web Site Development: |
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| A d d i t i o n a l
e x t r a s |
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| Do you want advertising banners: |
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| Do you require animations: |
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| Does your site need a database: |
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| Do you want JavaScript, Java Applets and/or other special
effects: |
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| Do you want to sell your product online: |
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| Will you need a shopping cart: |
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| Will you need credit/visa verification: |
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Any questions or queries not listed on this form,
please don't hesitate to type them in the box below.
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