Name |
: |
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Company |
: |
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Phone |
: |
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Fax |
: |
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Email |
: |
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Existing website
address (if any) |
: |
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What
type of service(s)
Do you
require? (tick all that apply) |
: |
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Web design
Flash
Introduction
Online
forms
Graphic
or logo design
Flash
navigation
Database
Solutions
E-commerce
solutions (shopping carts)
Audio
streaming
Video
streaming
Site
maintenance
Self
content management system
Search
engine optimization
Marketing
Consultancy |
What
is your budget in Indian Rupees?
(minimum project Rs 5000) |
: |
|
What
materials will you be
providing? (tick all that apply) |
: |
Copy (Text,
Word, existing site, etc.)
Images
and graphics
Design
layout
Site map
No materials
will be provided
Other (please
explain in the text fields below)
|
Please
estimate the number of pages
you will need. |
: |
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When
is your project start date?
|
: |
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Competitive
Analysis & Design
(If
possible, provide examples
of Web sites that you like
and why and the web sites
of your main competitors.)
|
: |
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How
did you hear about Mirackle
Web Design? |
: |
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Requirements
(Please
describe your requirements
in as much detail as possible,
e.g. if you need a web site
developed then describe its
purpose, audience and any
features like eCommerce or
databased content etc)
|
: |
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Choose
payment option? |
: |
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Verification Code |
: |
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