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Full Name:
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Address:
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Phone Number:
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How did you find our Site?:
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Referred by a friend
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What services do you require?:
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Web Site Design
Web Site Re-design
Graphics Design
Domain Registration
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Type of Website:
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Personal
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Number of Pages:
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5 to 10 pages
11 to 15 pages
16 to 20 pages
21 to 25 pages
26 to 30 pages
31 to 35 pages
36 to 40 pages
41 to 45 pages
46 to 50 pages
51 to 100 pages
Website Features You Are Looking For?:
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Shopping Cart
Blog
Forum
Photo Gallery
Contact Form
Advance Form
Newsletter
Facebook Page
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Do you need a Web Hosting?:
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yes
no
Do you need a Domain?:
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yes
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Estimated Budget:
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PHP 20,000
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PHP 35,000
PHP 40,000
PHP 45,000
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PHP 70,000
PHP 80,000
PHP 90,000
PHP 100,000
PHP 100,000 and above
Timeframe of the project must be completed:
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within 2 weeks
within 3 weeks
within 4 weeks
within 2 months
within 3 months
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