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Before the initial consultation, we ask that you fill out the following form to help us determine what your needs are and what areas to consider prior to the consultation and/or price quote. Please answer all of these items to the best of your ability. Please include any additional information at the bottom of the checklist. If you need immediate assistance, please call 212-810-7029 or you can also chat with one of our staff live by clicking below. If you prefer one of our rep to give you a call, please use to contact form located here, and one of our staff to contact you via telephone
 

Name *
Company *
Your title
Country
Phone (Day)*
Phone (Evening)
Email*
Web Site (URL)
Is this a NEW web site, or a RE-DESIGN of an existing site?*
New Web Site Design Re-Design Existing Site Neither
If a Re-Design, what is the current URL of your site?  
 
Will a domain name need to be registered for your site? *
Yes

No

Will you need web hosting for your site? *
Yes

No

Approximately how many pages do you anticipate the site having?
What category(s) best fit your web site?
E-commerce Government & Commerce Retail
Services/Goods Promotional Sports
Industrial Entertainment Non-profit

Other:

What services are you interested in? (Check all that apply)
Web design Development Flash
Programming Web hosting Maintenance
Custom graphics Shopping cart Multimedia
Custom development Logo design Training

Other:

Do you have a logo associated with your business? *

Yes

No

Do you want us to submit your site to search engines? *

Yes

No

Additional Comments/Questions: (Please provide specific details)

 

  

 


 

 
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E-mail:

info@rubayath.com
1-212-810-7029