CX Name
Request Form
Bitte füllen Sie alle mit * markierten Felder aus. (Pflichtfelder)
Your contact details
Company
Name
*
First Name
*
Street / House Number
*
Postal Code / Town
*
Telephone or Mobile
*
Your E-Mail
*
Your Website (URL)
How do you prefer an answer
Telefon
E-Mail
egal
I am interested in a website
(fif not, leave the fields blank)
What kind of website do you wish
Privat Homepage
Firmen Homepage
Shopsystem
Forum
Landingpage
ReDesign
Blog
CMS System
etwas anderes
What kind of websites do you like (sample URL)
(Restzeichen:
2500
)
Do you have a website or server
Ja
Nein
If yes, where an what kind (vServer, Root, GB ?)
(Restzeichen:
2500
)
You need extra advertising (banner, ads,...?)
Ja
Nein
I am interested in something else
(if not, leave the fields blank)
I am interested in
Logodesign
Flyer
Briefpapier
Visitenkarten
Plakat
Katalog
Gastroartikel (Menü...)
Einladungskarten
Corporate Design
etwas anderes
What graphics, flyers ... do you like (URL)
(Restzeichen:
2500
)
Project Details
Project name
*
Industry
Describe your project
(Restzeichen:
2500
)
Dates
When should the product be ready
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Project "very urgent" (10% surcharge)
Ja
Nein
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