Contact Information
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Name:
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Email:
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Alternate Email
Phone Number:
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Fax Number:
Company Name:
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Website URL:
Street Address:
*
City:
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State/Province:
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Zip/Post Code:
*
Country:
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Where did you hear about us?
eg. Yahoo!, Google, Overture etc.
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Username :
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Password :
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Retype Password :
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Website Design Information
- 1 custom and unique website template will be designed
- We will provide you with .PSD and HTML files upon completion.
- Additional pages can be made for $80 per page only.
Select Package
Starter - $ 299.000
Basic - $ 549.000
CMS - $ 699.000
Additional Layout
Please fill this space only if you need more pages other than included in your package.
(Please enter number of additional pages that you need, $80 for each additional page, if any)
Write down the names of links (or navigation buttons) that you want in your website
(e.g. Homepage, About, Contact etc.)
Hosting & Domain Name
Website Hosting
Domain Name Registration
Optional
Current Website URL
Competitors URL
(or the sites that you like)
Website Purpose
Promotional Site
Sell product or service
Information Resource for customers
Other
Graphical Interface Type
Conservative
Professional
Classical
Funky
Other
Colors to be used
Any
Product Oriented
Other
Please provide any other information that will help us in designing your website:
Detailed Description:
(Please provide us information about your design preference or any related suggestion that you wish to convey us for your website).
I agree to the
Terms and Conditions.
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Business Logo Design
. All rights reserved.