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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) |
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What
materials will you be
providing? (tick all that apply) |
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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)
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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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