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Website Designing Request Form
You are requested to fill up the form below:
What is the main purpose for your Internet presence?: (*)

General Information
Provide Company Information
Online Product Catalogue
Online Sales (Ecommerce)
Other, Please specify

Website Concept
Will this site be: (*)
A new website
An addition to an existing site
Remodeling an existing site
Other, Please specify
How many web pages do you think you will need? (*)
What kind of text and images do you have available for inclusion into your planned site, what are you planning to publish?
[Logo, photos, brochures, promotional text, publications, etc.]  (*)
What features are you interested in? E-mail response form[s] 
Online Product Catalogue
Shopping cart
Payment Gateway / Merchant Account
Database integration/publishing [please specify below]
Custom graphics 
Logo design 

Other features wanted:
FOR E-Commerce Website (Please specify):
Approximately how many items are you planning to sell on-line? No. of products
How many categories and sub-categories do you want to divide your products? No. of Categories
No. of Sub-categories
What is your time frame for completion of wesite? No. of Days
Please name your existing domain name (if any)
Please list a few (atleast 3) websites that might influence your design:
 
Please specify your budget:
Please include any comments or questions you would like to be addressed.

My Contact Information
Name:
*
Company:
*
Address: (City, State, Zip)
*
Country:
*
Email:
*
Phone:
*
Mobile:
*
Chat ID: