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Work request form

* mandatory fields
Contact Informations:
Name	:	*	E-Mail	:	*
Company	:		Phone	:	*
Address	:		City	:
State	:		Country	:
URL(if any)	:	http://

Project Requirements:

Type of Project

What type of Web Site is this?

Please estimate the total number of Web site pages required

Will you be providing the site content?

Web Site Style Setup

Will you be supplying a logo for the site or will you require us to create a Web Logo?

Supplying Logo Need Logo Created

Web Graphic Elements

Text Buttons	Interface Design	Sound	Graphical Buttons
Web Banner	VRML	Static Web Logo	Web Link Button
Image Map	Animated Web Logo	Animated Gifs	Splash Page
Online Presentation	Site Maintenance

Multimedia Requirements

Flash Intro Page

Flash Navigation

Flash Presentation

Programming / Scripting Requirements:

Shopping Cart	Chat Rooms	DHTML Animations	Custom Forms
Customer Support Chat	CGI / Perl Scripting	Database Programming	Mailing List
Custom Programming	Site Search Capabilities	Custom JavaScript	VB Programming
Discussion Forum	Custom Java Applets
others please specify here :

Please provide a few sample URL's of sites in which you like the design:

: http://

Project Requirements:

If you have any additional information you would like to include or if you have a design concept in which you would like to achieve, please also indicate that here.

Please indicate what your budget is for this project:
What is the turnaround time you require for this project?

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