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Please use this form to contact us with your preliminary details so that we can send you an initial quotation for your web site
All information will be treated in the strictest confidence and will not be released to any other parties whatsoever.
(Items marked (R) must be completed before submitting form)
Company/Organisation:
Activity:	(R)
First Name:	(R)
Last Name:	(R)
Position:
Department:
Address Line 1:	(R)
Address Line 2:
City/Town:	(R)
County/State/Province:	(R)
Post Code/Zip Code:	(R)
Country:	(R)
Telephone:	(R)
Fax:
E-mail:	(R)
Tell us a little about your business/organisation including products/activities/services:	(R)
How many pages will you require (based on 1.5 x A4 sheet sizes)?:	(R)
Do you have an existing artwork/logo in GIF/JPEG/TIFF on disk?:	YES NO (R)
Will you require us to host the site through our system?	YES NO (R)
If not, does your ISP support cgi scripts?:	YES NO (R)
How many photographs to include?:	(R)
Do you require a feedback page?:	YES NO (R)
Do you require Sound/Video/Flash on the site?:	YES NO (R)
Hits Counter?:	YES NO (R)
Guestbook?:	YES NO (R)
Forum/Bulletin Board?:	YES NO (R)
Classified Add system?:	YES NO (R)
Free for all Links Pages?:	YES NO (R)
Shopping Cart?:	YES NO (R)
Tracking for visitors:	YES NO (R)
Mailing List?:	YES NO (R)
Do you want any other items included? Please describe:
Any other details or notes:
Check this if you would like to receive further information from us or our associates:

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