| First Name:* |
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| Last name:* |
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nm-hosting.co.uk Account No
(nm-hosting clients only): |
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| Email:* |
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| Phone Number:* |
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| Your Industry/Market:* |
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What type of site design services
do you want? |
Design
of a new site
Maintenance or upgrade of an existing site
(specify url of the site):
Design of a site similar to
(specify url of the site):
Other (please
specify):
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If you are designing a new Web site, what will you be providing to
the Web site designer?
(check all that apply) (optional) |
Copy/text
Images/graphics
Layout
Site map
Nothing will be provided
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Approximately how many Web pages do you need created?
(optional) |
1-10
10-19
20-39
40-59
60-99
100+
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| If you want to sell products online, how many individual products
(SKUs) will you offer? (optional) |
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| What is your total estimated budget for this project? (optional) |
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Preferred technology (optional)
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ASP/ASP.NET
PHP
Flash
Don't
Know
Other
(please, specify):
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Preferred database (optional)
|
Access
MSSQL
MySql
Other (please,
specify):
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Type of your web server (optional)
|
Microsoft
IIS
Apache
Don't Know
Other (please,
specify):
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| Do you need CMS (content management system) on your site? It helps
change content of the site through password protected, user-friendly
administrative part. (optional) |
yes
no
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Which of the following site features would you like to have on your
site? (optional)
|
Contact
form
Subscription with newsletter
Search site by keywords
Product catalogue
Actinic© shopping cart integration
(available with nm-hosting.co.uk plans only)
Other shopping cart
Payment system integration
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| Preferred payment system (optional) |
Cheque
BACS
Credit Card (PayPal)
Don't Care
Don't Know
Other (please,
specify):
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| When would you like the project to start?
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ASAP
In two
weeks
In one
month
In two
months
Other (please
specify):
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| Please describe in detail any additional requirements you may have. Also, please
list all sections of your future site (for example: about us, news, contact us, products,....)*
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