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Company Name *
Your Full Name: *
E-mail:*
Phone Number *
Launch date (e.g. 18-03-2010 )
Is your launch date fixed or flexible? Fixed Flexible
Site desired Brand new Site Re-design of an existing website Maintenance or upgrade Template Design only Other, contact me.
Project Budget £200 - £300 £300 - £400 £400 - £500 £500 - £700 £700 - £1500 Other. Please, contact me.
Describe briefly your ideal website. (e.g. Number of columns, color...)
What is the primary purpose of the site? (e.g. To make a sell, to make an inquiry, to show your portfolio...)
How many pages are required? Could you list them all? e.g. Home, About, Portfolio, Contact...
If E-commerce, how many products will you sell? Less than 50 products 50 to 100 products More than 100 products Don't know yet
URL of Web sites you like e.g. http://site.com
Competitors URL e.g. http://competitor.com
Additional Comments
Current Web site URL (if applicable)
Domain Information Need to Register a Domain Already have a domain Don't know, contact me Not Appicable
Website Hosting Information Need help me to find a host Already have a Host Don't know, contact me Not Applicable
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