Please fill out the following form as completely as possible and we will be happy to supply
a free no obligation quotation for Web design. Thanks.
All information is used by Deane Internet Solutions only and will not be passed to
any third party. |
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| Your Details: |
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| Name: |
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| Company
name: |
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| Email: |
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| Telephone: |
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| Address
/ Location: |
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| What does your company do: |
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Check this box if you do NOT want to be contacted
by telephone |
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| About Your Website |
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| Is the site new or is it
a redesign: |
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| URL: |
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| Purpose of site: |
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| Approx size of site, no
of pages: |
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| Do you require logo/identity
design: |
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| Want to collect user info
in database: |
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| E-Commerce required: |
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| Flash required: |
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Any other info:
(please enter as much detail as you can, this will help us to gain a feel
for your project and to prepare an accurate quotation)
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| Examples
of websites you like (Please state what you like about them): |
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| If you have a budget for
your project, please enter it here: |
Do you have a smaller budget then this?
$4,000-$6,999
$7,000-$9,999
$10,000-$19,999
$20,000-$29,999
$30,000+
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| Hosting required: |
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| Expected launch date: |
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