Please fill out the following form to submit your information to our talented web designers. These designers specialize in creating an overall look and feel for your site, complete production of all pages/functionality and a finished product that is sure to produce results.

Enter as much information as possible so our designers can better understand your goals and expectations. This helps with providing an accurate price quote because all web design projects are different. This helps save you time and energy as you will be asked tons of questions in order to get the feel of your website design project if you do not describe it in great detail up front.

CONTACT INFORMATION

Company Name: *
Company Reg. No.: *
Full Name: *
Email Address: *
Tel Phone: *
Fax Number:
Address 1: *
Address 2:
City: *
Postcode: *
State: *
Country: *
Are you an existing client?	Yes
Preferred payment method: *	Check/Money Order/Bank Draft Credit Card (via PayPal) Direct Bank In to RHB Direct Bank In to CIMB Direct Bank In to Maybank Western Union Mobile Money

WEB DESIGN PROJECT INFORMATION

Type of Web Design Needed What type of web service are you looking to purchase?	New Web Design Upgrade Existing Web Site Design Update My Existing Website Maintain My Existing Website
Website Purpose (check all that apply) What is your website purpose? What would you like to accomplish?	Establish an online presence Provide information Provide customer service Offer virtual community Intranet/Extranet Sell products/E-commerce Other (please specify)
Web Site Examples List the websites that you like. Example: http://www.surf7.net	URL 1 : URL 2 : URL 3 :
Web Design Style What web site style are you looking for?	Don't Know Contemporary Artistic Business Oriented Futuristic
Do You have a Logo?	Yes No, but would like one Don't need one
Number of Static Pages for your Website Design Project Static pages are considered to be web pages that need to be edited individually. If you are looking for users to be able to interact with your site or would like to have a database driven website, please select this option further down the form.	Don't Know 0 Pages (Just need functionality) 1-10 Web Pages 10-20 Web Pages 20-50 Web Pages 50-100 Web Pages 100+ Web Pages
Website Animation Do you want your site animated?	Don't Know Just a Little Animation An Animated Introduction Complete Animated Website
Website Maintenance How would you like your website updated?	I would like to maintain the website myself I would like a content management system I would like for another company maintain it
Additional Functionality (check all that apply) What else would you like your website to do for you?	Sell Products or Services through a shopping cart Do you currently accept credit cards? No Would like to Yes Provide a Membership System Sell Classified Ads Allow people to communicate through a forum on your site Provide an online directory with search capabilities Provide online customer support Other (please specify)
Search Engine Services What search engine services would you like?	None Submission to Major Search Engines Search Engine Optimization & Submission to Major Search Engines
Website Hosting Do you need website hosting?	No Yes
Detailed Web Design Project Description Please describe, in great detail, how website will be used. Also, please list the overall function of your organization, ex: the products that you sell, the services you provide. This will help customize your website to your business.

ADDITIONAL INFORMATION

Web Design Budget * What is your total estimated budget for this web design project? If you are seeking a more complex site, pricing will be higher than that of a small website.	Under RM500 RM500 - RM1,000 RM1,000 - RM1,500 RM1,500 - RM2,500 RM2,500 - RM4,500 RM4,500 - RM10,000 RM10,000 - RM20,000 RM20,000 - RM50,000 RM50,000 +
Requested Start Date When would you like the web design project to start?	ASAP In two weeks In one month In two months