Company *
Work position
Name
Phone Number *
Email *
Email Verification *
What kind of business
How many shop(s) *
Location(s) *
Primary use of the website
How many pages *
Need to change text or picture on the website by your self Yes No
Website Technology HTML Basic HTML Flash Banners Flash Basic Flash Advanced Flash Extreme I don´t know
Request for domain name(s)
Need hosting Yes No
Your business biggest competions 3-5 websites links
Links to 1-5 websites with the style thats suits your company
Budget 10 000 000 IDR 11 000 000 IDR 12 000 000 IDR 13 000 000 IDR 14 000 000 IDR 15 000 000 IDR 16 000 000 IDR 17 000 000 IDR 18 000 000 IDR 19 000 000 IDR 20 000 000 IDR 21 000 000 IDR 22 000 000 IDR 23 000 000 IDR 24 000 000 IDR 25 000 000 IDR 26 000 000 IDR 27 000 000 IDR 28 000 000 IDR 29 000 000 IDR 30 000 000 IDR 31 000 000 IDR 32 000 000 IDR 33 000 000 IDR 34 000 000 IDR 35 000 000 IDR 36 000 000 IDR 37 000 000 IDR 38 000 000 IDR 39 000 000 IDR 40 000 000 IDR
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