| *
Contact Name | |
| Company
Name | |
| * Country | |
| Phone | |
| * Email
Address | |
| Instant
Messenger | |
| *What services are you
interested in? (Press Ctrl key for multiple slelection.) Please use comments
box for other option. | |
| If new design, please select
which type of site would best describe what you are in need of. Please use comments box for other option. | |
| If you chose redesign or minor
updates, what is the location of your current website? | |
| * Will you need a domain name
registered for your website? (We also provide domain service.) | Yes, I need a domain
No, I already have a domain |
| * Do you currently have a
hosting provider? If yes, Who? (We provide hosting service also for as low as $4 a month) | Yes
No |
| * Briefly describe in a few
sentences the services and/or products you or your profile of organization
provides. | |
| * What is your projected
budget for this development? (Prices in
USD) | |
| Are there any existing
websites that you would like to use as a guideline for your new website? This
will help us to understand the style and image you would like to project. |
|
| * Do you know approximately
how many pages you will need developed for your website? | |
| * How did you hear about
us? | |
| * If you have any additional comments that you feel may be important, please enter them here. | |
|
