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CONTACT INFORMATION
*First Name: *Address: *Email Address:
 
*City: Country:
 
*Daytime Phone: *Evening Phone:
 
             
WEB PROGRAMMING PROJECT INFORMATION
Type of Web Programming Needed
Which programming language should your project be developed with?		   Type of Database
What type of database will your project interact with?
Don't Know
ASP
.NET
PHP
CGI/PERL
JAVA
XML
JAVASCRIPT
Other
 
Don't Know
MySQL
SQL Server
ORACLE
ADOdb
Access
Flat File
Other
 
 
Examples of your Scripting Project
List the websites that have the functionality that you like.		 Administrator Interface
Would you like an administrative panel for maintaining your project?
New Web Design
Upgrade Existing Web Site Design
Update My Existing Website
Maintain My Existing Website
Not Applicable
Yes
   
     
Hosting Budget
What is your budget per month for hosting?		    
Not Applicable
Under $5 per month
$5 - $10 per month
$10 - $15 per month
$15 - $20 per month
$20 - $50 per month
$50 + per month
   
     
*Detailed Design Project Description
Please describe, in great detail, how the project will be used. Also, please list the overall function of your organization, eg. the products that you sell, the services you provide. This will help gear your banner to your business.
           
ADDITIONAL INFORMATION
Requested Start Date
When would you like the project to start?
ASAP
In two weeks
In one month
In two months
 
 
   
   
       
   
 
 
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