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E-mail:   support@mysitemalixi.com
Mobile: 09175823957/09228810197
 
Tel:   +632-369-4218
  +632-387-0095
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  Availment Registration  
 
 
  CLIENT SERVICES AVAILMENT FORM  
 
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Please fill -up the form below to receive your Quotation
 
 
  Name : *
   
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First Name
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  Email :
  Company name : *
  Nature of business : *
  Country : *
 
  Address : *
  Contact No. :
   
Tel No.
Fax No.
Mobile No.
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  Please tell us some details on your website requirements  
 
  I want to start Immediately
  Just browsing for general information and price ranges
 
  What will be the purpose of your Website?  
 
  Showcase a catalogue of products/portfolio of work
  Sell Products / Services
  Provide information about your business
  Enable customers to contact you
  Additional marketing tool
  Allow customers to make on-line availment of your services
  Give a guided tour
 
  Do you already have the following:  
 
    Registered domain
   
.biz .com .info .name  
.net .org .pro .ph  
Other :    
 
  If you don't have any domain name registered, please give us your choice/selection (5 choices)  
 
 
Sample: www.mysitemalxi.com
 
   
   
   
   
   
 
  Do you already have the materials to be used on your website (texts and pictures)?  
 
  Yes, I already have text and pictures / images for my site
  Not yet
     
 
  Please describe how you would like your site to be presented  
 
(Look and Feel)  
 
 
 
 
  Logo Presentation  
 
  with Symbol (i.e. Toyota logo)
  Text as Logo (i.e. Honda, Nokia)
     
 
  No. of Pages ( What will be shown on this site (Please check all that applies) )  
 
  Products  Qty.:
  Services Qty. :
  Catalog Qty. (number of photos)
  Gallery Qty. (number of photos)
  Other Pages: