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Your Name* :
Designation* :
Company* :
Website :
E-mail* :
Tel*:
Fax :
State:
Zip :
State:
How do you hear about CRS Technologies India Pvt Ltd? :
What type of service are you looking for? (Check all that apply) :
Internet Strategy
Web Site Design
Usability Design
E-Commerce
Content Management Tools
Search Engine Promotion/Marketing
Email List Distribution/Management
Corporate ID (Logo designing)
Marketing Plan/ Consulting
Programming
Copy Writing
Web Hosting
Others
What is your budget range?* :
Project start date : ASAP No Rush Not Sure
When would you like your project completed?* :
Do you have an existing website? Yes No

If you checked above that you require web site design or development, please answer the following:


If you have a website, what is the current address?
Estimated number of pages to develop :
Will you be providing the written content for your site? :
Yes No
Will you be providing the image digitally? :
Yes No
Will you need photography or stock images purchased on your behalf? :
Yes No
How will you maintain your website? :
Please give us a brief on your existing/proposed business*
What qualities do you expect of us?
Enter additional needs, questions or comments here
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