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Please complete the form below

 



1. Do you have an existing website ?
 Yes     No If yes, kindly specify :
2. Briefly describe your business or what your site is intended for.
3. What best describes the purpose of the web site you are considering?
 To provide information about our company online.
 To sell products/services online.
 A portal that will also allow our clients to login.
 Others  
4. Which of the following pages/features do you anticipate that you need for your site?
     Please select how often the content of each page will need to be updated.
I have not decided on the content yet.
 Flash Intro    
 Home   Updated :
 About us   Updated :
 Products   Updated :
  How many products do you have?  
 Services Updated :
  How many services do you offer?  
 Projects   Updated :
 News   Updated :
 Events   Updated :
 Portfolio   Updated :
 Newsletter System   Updated :
 Testimonials   Updated :
 Online Payment    
 Shopping Cart    
 Tell-a-friend    
 Location Map    
 Downloads   Updated :
 Links   Updated :
 Site Search    
 FAQ's   Updated :
 Careers Section   Updated :
 Sitemap    
 Print This Page    
 Privacy Policy   Updated :
 Members Area   Describe what your members can do ?
 Others   Breifly explain other features
5. Hosting your website files
 I already have Hosting  I want to host my website with 4urWeb
6. Do you have a domain name registered?
 Yes, See above  No
If No, please give indication of desired name for availability check. ( comma separated for multiple search options )
7. How did you hear about us?
 Search Engine   Email Advert   Internet Advert   Newspaper   From a Friend    Others  
8. Your Contact Details
Your Name : *
Email : *
Contact Number : *
Mobile Number :
Company :
City : *
Country : *