WEB DESIGN Company name: * Contact name: * E-mail: * Goals of the website: * Do you already have a defined graphic line? * YesNoHow many forms does your website need? * How many pages do you need for your website? * —Please choose an option—1-5 pages6-10 pages11-15 pages16-20 pages21-30 pages31-40 pages41-50 pagesMore than 50 pagesI haven't any idea how many I need!Do you have a website now? * YesNoIts domain: Modules you might need in your website: * Image galleryVideo galleryNewsletter subscriptionSecure zonesDatabase connectionE-commerceWeb appsBlogNewsAd rotatorsForumsCRME-mail marketingReportsDo you need hosting service? * YesNoIf you already have a hosting service, please provide us the following info: server name (URL), username and password: Additional comments: If you have some additional info, you can attach it here (.pdf or .rar, .zip): *