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Name* :

Business name* :

How many employees* :

Phone number* :

Email* :

City* :

How did you hear abour us?*

Briefly describe your website *

Website creation (Check as many as you feel are appropriate for your website)
Static Website (HTML- Non-flash)
Dynamic Website (Flash Website- Animated)
Static Website with Flash intro
Other services offered
Logo creation
Domain name registration (www.yourdomain.com)
Website maintenance
Website hosting
Search Engine Submission
Additional information
English language Website
French language Website
Bilingual Website
Number of English pages to create
Number of English graphics to create
Number of French pages to create
Number of French graphics to create

Target launch date (dd/mm/yyyy)


Budget :