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Contact Details
*
Organisation Name
:
Industry
:
*
Contact Person
:
Title
Mr.
Mrs.
Ms.
Dr.
Designation
:
*
Contact No.
:
Address
:
*
Email
:
*
Type the word
:
Want to provide us your detailed project requirement?
Yes
Project Requirement
1.
*
Briefly tell us about the purpose of the website? ( What do you want to achieve through this website ? )
:
2.
*
Do you have a logo?
:
Yes
No
How can we help you ?
3.
Do you want the following services?
Domain Name
Yes
No
(if yes specify domain name)
Hosting
Yes
No
Email
Yes
No
(if yes specify no. of emails)
4.
No. of pages required
:
pgs
5.
No. of forms required
:
forms
6.
Will you provide us the website content ?
:
Yes
No I want Pixel Avatar to Help
7.
Do you have the website images ?
:
Yes
No I want Pixel Avatar to Help
8.
*
Any reference site(s)?
:
specify
9.
Do you want any dynamic modules? Select yes or go to next
News & Events
Career Openings
Testimonials
Newsletter Sign Up
Site Search
Google Adsense
Site Analytics
Any Other
10.
*
By when do you want the website ?
As soon as possible
Within 3 Months
Not urgent
11.
*
Do you want your website to be maintained by Pixel Avatar?
Yes
No
12.
Pixel Avatar can help you on Brochure design also. Do you want to get quote for that too?
Yes
No
13.
*
Is there any other detail you would like us to know:
Want to provide us your company details?
Yes
Help us to know you better
1.
Is your organisation a
:
New start up
Young
Established
2.
Year of starting
:
3.
*
What does your organisation do ?
(Tell us about your products / services etc.)
:
4.
Who is your target segment ?
:
5.
No. of Employees ?
:
--select--
< 10
10 - 50
50 - 100
> 100
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How it works
Testimonials
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About Us
Why choose Pixel Avatar
Contact us
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