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Personal info
Name
*
E-mail
*
Phone Number
*
Type of Request
New Website
Redesign
Do you need help purchasing a domain or hosting?
Domain Registration Needed
Hosting Plan Needed
Desired Features
Simple Websites
Site with Flash elements
Flash site
E-Shop
E-Market (auction)
Social Network
Web-based applications
Other
If you have selected "Other" - please enter details of your requirements here.
Would you like to be able to administrate the site using CMS?
No
Yes
In how many languages should be the site?
1
2
3
3+
Do you have all of the content ready for the job?
No
Yes
How long will we have to complete the job?
Deadline / Timeframe
not critical
1 week
2 week
3 week
1 month
2 months
more than 2 months
Please list any websites that you think have great style, design, functionality, or features that you would like to incorporate into your site:
Any additional comments may be left below:
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