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Simply fill out this short form below and we will get back to you within 24 business hours.

The information you provide us will help to fully understand your needs and will permit us to generate a better estimate of the costs involved in building your website. The more details you provide us, the better we can serve you.

It's free, so go ahead!

Contact Information:

Company Name: 

   
First Name:

Last Name:

Physical Address:

City:

Province:

Postal Code:

Telephone:

Fax:

E-mail:

Website:

Services Requested:
 

Website  Development      
New Website?

Re-Design Website?

How many pages (including homepage) would your website consist of?  
     
Which one of these features would you like to have on your website?    
Guestbook          Feedback form
Survey Polls       Visitor Counter
Streaming Media (audio/video)
Flash animation
Discussion forum Weblog Company Newsletter
Others: Specify
   
     
Will you be supplying your own images/photos? Yes No
Need help writing your content? Yes No
     
Ecommerce Capabilities?    
How many products you intend to sell online? under 10 10 to 50
  50 to 500 over 500
What payment methods would you like to accept online? credit cards  cheque
  Paypal other
Do you have a merchant account already? Yes No

If no, do you want us to set one up for you?

Yes No
     
     
Website Maintenance    
Would you like for us to do maintenance on your website? Yes No
How often would your website need maintenance? daily weekly
  monthly once in a while
     
Webhosting    
Do you need webhosting services? Yes No
     
Domain name registration    
Do you already have a domain name registered? Yes No
Would you like us to register your domain name? Yes No
What is your desired domain name?    

 

   

What is your budget for the services requested?

Please describe your project in as much detail as possible below:

What is the desired deadline for your project?

When and how would be the best way to contact you?

How did you hear from us?
 

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Alexram Internet Services  3551 Boul. St-Charles, suite 213  Kirkland, Quebec, Canada  H9H 3C4
T: 514-497-5347 Toll free: 1-888-329-5219 Fax: 514-221-3696
 

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