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| Not All Web Designs are Created Equal |
Please provide the following contact information: |
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Company/Business Name |
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Your Name |
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Position |
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E-mail Address |
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Mailing Address |
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City/State/Country |
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Telephone (include code) |
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Fax (include code) |
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How did you find us? |
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Please estimate at the best of your knowledge and fill the following fields |
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| What kind of budget are you working with? (pls. state currency) | |
How many pages you will require? |
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| Guide: Personal Web Site = 1-3 pages Small Web Site = 4-12 pages Medium Web Site = 14-40 pages Large Web Site = More than 50 |
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How many graphic images will be included in total? |
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| Do you want us to
create any graphics/illustrations for you? Yes/No If Yes how many? |
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Will you provide scanned images on a disk or through E-mail? Yes/No If No how many images do you want us to scan? |
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| Will you provide the
text on a disk or through E-mail? Yes/No If No how many A4/letter text pages will want us to type? |
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Please tick any of the following features that you require. |
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| Frames | Background Images | Animated Graphic's | |||
| Custom Buttons | Background Music | Visitors Counter | |||
| E-mail Link | Guest Book | Java Script | |||
| Order Form | Major Search Engines Submission | ||||
If other components are needed, please describe |
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Shockwave Flash Design |
| Will you be needing any Flash Introduction/Banner/More...? Yes/No |
| If yes Please give details of your requirement |
Additional Requirements - Please answer Yes or No |
| Will you require regular maintenance or changes? Yes/No |
| Will you be needing web development training? Yes/No |
| Do you need a private domain address? (www.your_name.com) Yes/No |
| Do you need a host for your site? Yes/No |
Custom Made Graphics Just for You !
Graphic Services |
In case that your requirement is not of a web design but of other graphic services, please fill in the following fields. |
Logo Design |
Illustration |
Animated Gifs |
Flash Banner
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Flash Introduction Page |
PhotoShop Editing |
In case that you can not submit this form
please try later or let us know through my e-mail