Name

Last name

Email

Phone number

Company name

Address of current web site (if you have one)

Do you need a new website or redesign an existing? New website Redesign of existing

How extensive web site you want? up to 5 pages
5 to 10 pages
10 to 20 pages
more than 20 pages

An example of a web site that you like

Another example of a website that you like

Do you want a website with CMS (dynamic web site where you can make yourself the administration and editing site)? Yes No

Describe your wishes regarding your preferred web site in 2-3 sentences

Choose the type of website you are interested ... Info web site (informations of company activities + photos + contact)
Online shop
Forum
Blog
Forms to fill
Booking (tourism)
Real Estate Website

Or something else ...

Do you have any special requirements about the time of making web site? Necessary my web site as soon as possible
Normal production time

Additional comments, questions or tips, special wishes ...