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Name * :
Position * :
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Company * :
Address * :
   
City * :
Postcode * :
State * :
Country* :
     
Telephone * :
Fax :
     
Brief Description About Your Company :
   
  WEB DESIGN PROJECT INFORMATION
 
Type of Web Design Needed *
What type of web service are you looking to purchase?
New website design
Website redesign
Update my existing website (One Time)
Maintain my existing website (Long Term)
Website Purpose *
(check all that apply)
What is your website purpose? What would you like to accomplish?
Establish an online presence
Provide information
Provide customer service
Offer virtual community
Intranet/Extranet
Sell products/E-commerce
Showcase my product catalogue (no e-commerce)
Make it up-to-date
Other (please specify)
Your current site address (if any) URL :
Web Site Examples (if any)
List the websites that you like to have or follow as a reference
URL 1 :
URL 2 :
URL 3 :
Web Design Style *
What web site style are you looking for?
Modern / Contemporary
Artistic
Nostalgic
Business oriented
Futuristic
Creative
Don't know
Do You have a Logo? * Yes
No, but would like you to create one
Don't need one
Number of Pages for your Website Design Project *
1 - 3 pages (only for update/maintenance)
4 - 5 pages (minimum pages for web design)
6 - 10 web pages
11 - 20 web pages
21 - 30 web pages
31 - 40 web pages
41 + web pages
Don't know
Animation *
Do you want your site animated?
No need animation
Just a banner animation in the home page
An animated introduction before enter
An animated intro and banner
Complete animated website (Flash Site)
Don't know
Website Maintenance *
How would you like your website updated?

I have my own people maintain ourselves
I would like to have a content management system
which I can maintain the website by myself easily
I would like for another company maintain it
I would like you to update/maintain for me
Don't know

Additional Functionality (if any)
(check all that apply)
What else would you like your website to do for you?
Provide a Membership System
Sell Classified Ads
Allow people to communicate through a forum
on your site
Provide an online directory with search capabilities
Provide online customer support
Other (please specify)
Do you need website hosting? * Yes, please register for me
No, I already have one
Do you need to register a new domain name? * Yes, please register for me
No, I already have one
   
  ADDITIONAL INFORMATION
 
Web Design Budget * Under RM1000
RM1,000 - RM2,000
RM2,000 - RM3,000
RM3,000 - RM4,000
RM4,000 - RM5,000
RM5,000 - RM10,000
RM10,000+
Don't Know
Deadline for the website to be completed *

ASAP
In two weeks
In one month
In two months
In three months
More than three months
Don't Know

Special Requirement (if any)
   
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