| Name*: |
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| Surname: |
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| Business / Organisation*: |
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| Email address*: |
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| Mobile or Telephone number*: |
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| Fax number: |
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| 1. Have you currently got a website*? |
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| If so please give us your full URL |
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| 2. Do you currently have a web domain*? |
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| 3. Web Domain and Server from from $150 p/y |
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A Web domain and server is necessary for a website to be made. You already have your own.
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| 4. What purpose will your website be for? |
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| 5. How many web pages do you require*? |
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| 6. Which of the following functions do you require on your website? |
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(£10 per each function or £5 a function if 3 or more functions required) |
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| 7. Would you like us to make this purchase for you? |
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| 8. Do you already have an idea of how you want your website to be like? |
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9. Brief*:
In 3/4 Sentences explain what purposes you want your website to serve and who is your target audience? |
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| 10. What is the deadline for this design to be complete? |
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| 11. Budget*: |
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I have read the terms and conidtions,
and I agree.
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* required fields-If these feilds are not answered then it is possible we may not get back to you.
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