D.A.P Web site Design Enquiry Form

Essential Information

Name : ( Contact name )

Company Name : ( Name of Business )

Business : ( e.g Florist,Plumber,Building Contractor )

e-mail address : ( * Essential for reply )

Options

No. Of Pages
(Choose One)

1-4
5-20
21 +

Type of Website Required
( Choose One )

Basic Brochure Site
Brochure + Booking/Enquiry Form
E-commerce(Database+online payment)

Do you require e-mail addresses
at your domain name ? (Yes/No)

Yes
No

Do you require Flash Animation
in your Web site ? (Yes/No)

Yes
No

Additional Information

Do you have any of the following attributes towards your web site design ? (tick relevant boxes )

Photo of the business
Company logo
Company Brochure
Domain name Registered

Affiliate logo's e.g "Confederation of roofing contractors logo"
List of Services/Products
Company Biography
Hosting Package(Already pay rent for Webspace)

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