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Web Design Services

Web Site Design Inquiry/Order Form

To help us better understand your website design or web programming project requirements, please provide us with the requested information below so that we can develop a solution and begin preparation of your written estimate.

Company Name*
First Name*
Last name*
Job title or position
Industry*
Address*
City*
Provinci or State*
Postal/ZIP Code*
Phone*
Fax*
Email Address*
Preferred Method of Contact
Current or Proposed Website URL
How did you hear about us?
   
  Content Types
Type Description/Usage
Audio/Video
(streaming/non streaming)
Flash Animation

PDF or Word Docs
(printable documents)

Static Web Pages
(standard non-interactive web pages)
Other
   
  Interactivity
Type Description/Usage
Website Advertisement System
Message Board or Live Chat
Classifieds
Job Listings Module
Content Management System (Updating the pages yourself)
E-mail Contact Forms
Database/Type
Dynamic Pages
(pages that interact with a database)
News & Events Pages
Website Newsletter or Mailing List
Membership Login/Section Section
Realtor Property Gallery
Shopping Cart / Online Product Ordering/Processing
Photo Gallery
Website Internal Search Engine
Other
  Service Requirements
Type Description / Usage
Domain Name Registration
Photography (on site)
Internet Marketing/Search Engine Submission
Site Maintenance
Other
  Deadline/Budget Info
Do you know your project budget?
Projected Start Date
Projected Deadline Date
   

You can also call us at:

(62) 361-720260

to speak with a sales representative regarding your project requirements or chat with a sales representative online
(Monday-Friday, 10AM-5PM).
Term and Condition
Copy Rights 9element.com design communication©2005. All Right Reserved
9element.com is a subsidiaries of PT. Naga Sari Jaya
Launchpad www.9element.com V.333. Evolve
9element.com design communication

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