Anthony Keenan Internet Services - Web Design : Ecommerce : Hosting : Domain Names
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SEMI CUSTOM WEBSITE ENQUIRY / ORDER

Please complete the no obligation enquiry / order form below for your chosen core design - we will review the information you supply and contact you with any questions and issue you with a project specific quotation and deposit invoice.

YOUR CHOSEN SEMI-CUSTOM WEBSITE CORE DESIGN
Core Design Choice - Design Number
:
YOUR DETAILS
Name
 :
Your Position
 :
Company Name
 :
Company Address
 :
Contact Email
 :
Telephone (1.00 - 6.00 pm)
 :
Telephone (6.00 - 9.00 pm)
 :
Briefly describe your business / company
:
Existing domain name if you have one?
 :
DETAILED WEBSITE REQUIREMENTS
Desired domain name - 1st choice
:
Desired domain name - 2nd choice
 :

Anticipated website page names/subjects

What pages will make up the site? eg:

1. homepage
2. about us
3. services
4. products
5. news
6. our people
7. testimonials
8. contact us

:
Do you require Flash features/elements?
(moving images, animated features, etc)
 : Yes   No   Don't know - advice needed
TIMESCALES
Desired web project start
 :
Desired web project completion
 :
If you have a set deadline - please enter it
 :
OTHER INFORMATION
Please enter any other relevant information / requirements::

Please let us know how you found us
 :
 
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