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Customer's Details:
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Name: (#)
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Email: (#)
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Telephone: (#)
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Company Name:
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Brief Description of Company:
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Address: (#)
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Hosting & Domain Details:
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Status Of Domain: (#)
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Website URL / Domain Name: (#)
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. ( Type in the preferred domain name!)
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If you require Domain Name registration, give us 3 names that we may check for availability:
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( You may list several preferred domain names in accordance to importance. )
(Eg.1.http://yourname.com, 2.http://myname.com.my, 3.http://hisname.com)
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Hosting: (#)
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Website Details:
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Status Of Website: (#)
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Type Of Website: (#)
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. ( If Your Type Of Website Is Others Than Described, Type In The "Others" field below ! )
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Others:
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{other type of
website:description}
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How many updates per month expected on average?
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Please Choose Web Package:
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. ( If your choice of Web Package is "Others", type in the others field below ! )
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Others:
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{others web
package:description}
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Do you have any preference sample websites for our reference?
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{others people
site:description}
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If you have a budget please specify:
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Desired Date Of Starting Web Project: (#)
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{date of
starting:description}
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Please provide as many details as possible about your website project and needs: (#)
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. ( Include a general description about the content and features that you want to add
. (eg.link facebook, videos, feedback form, photo gallery, google map and etc)
. Any general notes or comments will be helpful.)
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Web Maintenance Details:
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{web maintenance
package:caption}
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{web maintenance
package:description}
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How Did You Find Us?:
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{how did you find
us:description}
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Please Enter The Security Number: (#)
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Thank You for taking the time to fill in this form. It helps us serve you better. We will get back to you real soon.
