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* Contact Name :
* Company Name :
* Email :
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* Comments :
What services are you interested in?
Do you have a current web site?
Do you require domain registration? yes no don´t know
Do you require Web Hosting? yes no don´t know
How many pages would you require?
Would you require a logo? yes no don´t know
Do you have any printed media
i.e. brochures?
yes no don´t know
Would you be able to supply
all the photos / text?
yes no don´t know
Do you know your target audience? i.e. home users /
business / age group
Do you have a favorite web site / web sites?

Do you know of a site /sites you dislike?
Do you have a preference of colours?
Do you have a deadline for the site?
What is your budget for the web site?

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