Your
details (*Required field) |
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| Contact
name* |
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| Company |
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| Telephone
number* |
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| E-mail* |
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| Your postal
code |
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| Your connection
speed |
Broadband
Dial up
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Approximate age of business |
Start up
0-2 years
2 - 5 years
Over 5 years |
| How did
you get here? |
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| Which
search engine? |
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| What
keywords were used? |
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About your project |
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Services you are interested in: |
1
Web Designing
2
Search Engine Promotion
3
Logo design
4
Small Business Solutions
5
Ecommerce Solutions
6
Corporate Designs
7
Web hosting
8
Domain names
9
Software Development |
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To be completed for web
design or promotion |
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List up to 3 competitors domains: |
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List up 3 websites that you like the
look of: |
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Do you already own a website for this business?
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Yes
No
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If yes what is the domain?
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If no what domain would you like?
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How many pages would you like designed?
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How many images would you like to use on your website?
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Would you like Flash in your Website?
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Yes
No
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If you are interested in Search Engine Promotion, name
5 of your top target keywords.
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What general features are you interested in for your
website?
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1
E-mail & newsletter
2
Tell a friend script
3
Add to favourites
4
Internal Search Engine
5
Private login area
6
Links pages
7
Shopping cart facility
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When would be a convenient time for a designer to call
you to discuss your options further?
On these days:
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1
Monday
2
Tuesday
3
Wednesday
4
Thursday
5
Friday
6
Saturday
7
Sunday
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At these times:
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Do you have a limited budget for your project?
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Comments or suggestions
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| Thank you
for your interest and for taking the time to complete
our quote request form. Please click submit once and
await confirmation of submission.
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