Web Services Order Form
First Name:* Last Name:
Company: PO (work order) #:
Tel. #:* Address 1:*
E-mail:* Address 2:
City:* State:*
Country:* Zip:*
If you already have a Domain Name please type the URL :
Approxmately how many pages would you like to be designed:*
Describe the kind of website you want, and the objectives you would like to achive:
Website address that you would like us to use as a reference (if any) website:
Do you currently have a logo or any other website related information (including contents, images, etc.)then, please attach:
Project Budget:*
Services Required:
   
how you heard about DesignPresentation:*  
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