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Please take a moment to complete the form below, so we can assist you better with your proposal.
Name* :
Business name* :
How many employees* :
Phone number* :
Email* :
City* :
How did you hear abour us?*
--Select one--
Colleague
Google
Yahoo
MSN
Bing
Facebook
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Briefly describe your website *
Website creation
(Check as many as you feel are appropriate for your website)
Static Website
(HTML- Non-flash)
Dynamic Website
(Flash Website- Animated)
Static Website with
Flash intro
Other services offered
Logo creation
Domain name registration (www.yourdomain.com)
Website maintenance
Website hosting
Search Engine Submission
Additional information
English language Website
French language Website
Bilingual Website
Number of English pages to create
Number of English graphics to create
Number of French pages to create
Number of French graphics to create
Target launch date (dd/mm/yyyy)
1
2
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01
02
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2015
2016
2017
2018
Budget
:
750$ - 1,500$
1,500$ - 2,500$
2,500$ - 5,000$
More than 5,000$
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