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Welcome, If your company requires a web site and wishes to receive a proposal from mywebsitenet webdesign
company, please take a few moments to fill out the following form. In order to provide the necessary background
information - it is appreciated that you fill in as many of the fields as possible. (fields marked * are required)
 
Contact Information
Contact Name *
Company Name:
Nature of your business:
Current Website URL(if any):
Address:
(City/State/Country)*
Telephone
 Mobile Landline*
Email Address*
Contact me with:
General Project Information
Overall Project Description:
*Project purpose:
What best describes your needs: (please tick all that apply)
Web Site Design
Web Site Hosting
Additions to Current Site
Database Capabilities
Internet Marketing
Logo Design
Web Site with E-Commerce
Web Site Redesign
Web Site Maintenance
Search Engine Optimization
Flash Animation
If your site needs updating what is your present URL address:
Project start date:
 
Project deadline:
Project budgeted amount:
Current web information (optional unless you have an existing website)
Current Hosting Solution:
Current Database:
Current Markup Language:
Additional Services Needed (optional)
Hosting Needed:
choose package
Comparative Website addresses
(Please enter up to 3 web site addresses which you feel are representative or similiar to the site you would like for your business.)
address one
address two
address three
 

 
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