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Website Design Request

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Name *

First

Last

Email *

Phone Number *

Company/Project/Website Name *

The name of your company or project

How many pages does the site have?

Does the site contain an account registration system?

Does the site contain a payment system?

Does the site contain an admin control page?

If it contains an admin page -- what will the page contain?

Does the site contain daily/monthly/yearly statistics?

Do you have a specific design for the application in your mind? Or you want the designer to suggest a design to you?

Site idea *

Explain the idea of the website you want

Contact us if you have any question and we will contact you as soon as possible….

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