| Contact Name : |
 |
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| Company: |
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| Email: |
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| Phone#. : |
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| Address: |
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| Country |
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| How you found us: |
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Other: |
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| Do you have a Website: |
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Yes |
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No |
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| If yes, please provide URL: |
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| Requirements: |
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| What type of site is required? |
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Informational |
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Dynamic |
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| Would you like, to manage your website yourself? |
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Yes |
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No |
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| Languages required: |
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English |
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|
|
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French |
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Others |
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Specify: |
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| Pages required per language: |
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| Special features to be included in the quote? |
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Internet Marketing needed/SEO: |
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Yes |
|
No |
|
Hosting needed: |
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Yes |
|
No |
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| Domain Name Registration: |
|
Yes |
|
No |
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| Allocated budget: |
|
| Time frame: |
|
Attach Request for Proposal(RFP)
(if applicable) |
|
| |
|
|
|
Français
