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Customer Information
Salutation:	Mr Mrs Miss Dr	Company Name:
**Name:		Designation:
Address:
City:		Postal/Zip Code:
Province/State:		**Country:
**Email Address:		*Fax No:
*Tel No:

Business Information
Homepage:

Nature of business:	Manufacturer Sole Distributor Distributor/Agency Retail Services

Target customers:	Local \| International

Services You Interested in
	Search Engine Optimization (when you want to be found top in Google, Yahoo, Bing and other search engine constantly)
	Online Catalog Solutions / Content Management System (when you have a lot of pages e.g. >15, or a lot of products to upload, or need constant content update on event, announcement, news, etc.)
	Website Development (when you simply need a website; basic or full flash)
	Web & Email Hosting
	FTP hosting
	Domain registration
	Others, please specify

Objective to achieve in this campaign:

Budget Allocation in this campaign:

Expected delivery date of this campaign:

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