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Personal Information
 
Name
 
Company
 
Home phone
 
Work phone
 
E-mail
 
Where do you know about us
 

 
Details of the Project
 
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Design
 
Internet
 
Multimedia
 
Solutions
 
If other, specify
 
How many pages ?
 
Do you need a quote on hosting ? Yes No Not Sure
 
Do you have a domain name registered ? Yes No Not Sure
 
Domain Name
 
Are there any sites that have similar functionality and/or look and fee you like ? (detailed a possible, please)
 
Project Budget: ( at least very approximate )
 
Project Deadline: ( if any )
 
Please, describe your projects as detailed as possible
 

 
Information Partner / Reseller
 
Code
 
 
 
 
 
 

 

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