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Name: - First & Last*:

Location: - Town, City, State:

Email Address:*:

Is this a new Website?*:

Yes No

If No, is it a re-design?*:

Yes No

What is the current URL of your website if this is a re-design?:

Will you need space on the Internet to 'host' your website? *:

Yes No

Will you need a Domain Name registered?*:

Yes No

What type of 'Image' are you wanting your website to convey?*:

What type of business do you have?

i.e. Business, Consultant, Bed & Breakfast, Beauty Industry etc *:

What websites have you seen that are similar to what you require?

URL of website #1:

URL of website #2:

URL of website #3:

Are you looking at maintain the website yourself?*:

Yes No

If you answered YES, are you wanting a CMS (Content/Client Management System)?*:

Yes No

If you answered NO, tell us how you plan to maintain the website?:

Will you be providing the actual 'content' for your website? *:

Yes, I will provide all the content No, I need you to write it

What type of information will you want to include in your website?*:

Home/Introduction Page
Service Information Page/Pages
About you/your Company/Company Profile
Product Information Page/Pages
Printable Order Form Page
Online Order Form Page
Website Updates and Announcements
FAQs Page for Your Viewers
Online Newsletter Page with Signup and Mailing Database
Links to Related Businesses Page
Contact Details Page
Other (please describe below:)

If 'other' selected, please detail your description here:

Do you require eCommerce solutions?

i.e. a Shopping Catalogue/Cart to process online orders and to accept online payments?*:

Yes No

Do you want to maintain the Shopping Catalogue/Shopping Cart yourself?*:

Yes No

If YES, how many products do you require to be included into the Shopping Cart?:

Will you need someone to 'update' your website periodically if not wanting a CMS?*:

Yes No

If yes, will you need the updates::

Daily
Weekly
Fortnightly
Monthly

EXTRAS:Will you require 'extra' promotion done for your website? ie: submission to search engines*:

Yes No

Please provide us with any other comments which will help us in providing a quotation::

Who Referred you to our website?*:

If Other OR Word of Mouth, please provide details:

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Request a Quotation

1000 Mbs - $120 pa 10,000 MBs - $220 pa

1000 Mbs - $120 pa
10,000 MBs - $220 pa