| Company Name : |
|
| Business Category : |
|
| Company Address : |
|
| Company Slogan |
|
| Telephone : |
|
| Fax No.: |
|
| Contact Name: |
|
| Position: |
|
| Description of Company: |
|
| Products & Services: |
|
| E-mail Address: |
|
| Do you have an existing website? |
|
|
| If yes, please indicate url: |
|
| Would you like us to update this existing website? |
|
|
| Do you have an existing e-mail on this website? |
|
|
If yes, please indicate
e-mail address: |
|
| Please note we only use state of the art web development tools including Dreamweaver, Fireworks, Photoshop, DHTML, Java, C++, Javascript, PHP, Perl. |
|
| Please click appropriate boxes that you would like to have on your website: |
|
| Other Pages (please specify) : |
|
| Do you have photos for your Website? |
|
| Domain Name (www.yourcompany.com) |
|
|
| Please list down three possible domain names for your Website: |
|
| Would you like to have the option to update your own website? |
|
|
| Would you like us to update that for you at a negotiated rate? |
|
|
| Any additional requirements? |
|
| |
|
