Number of A4 Size Pages :  
Animation :
Yes  No
 
Length of Animation : seconds  
Number of Pictures (Excluding Logo) :  
No. of Forms :  
No. of Videos :  
Password System for Public Site? :
Yes  No
 
E-Commerce with Shopping Basket
and email confirmation? :
Yes  No
 
Domain Registration? :
Yes  No
 
Website Hosting Needed? :
Yes  No
 
Number of Email Addressess? :  
Company Name :*  
Contact Person :*  
Designation :*  
Contact Number :*  
Email *  
Existing Website :  
Subject *  
Message *  
Note: Please enter all fields with (*).  
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