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Company Name |
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Address: |
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City/Suburb: |
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State: |
P/code
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Country: |
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Contact Name: |
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Phone: |
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Fax: |
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Mobile: |
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Email: |
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Preferred contact method |
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| Have you registered a domain name? |
yes /
no |
Domain name: |
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| Secure your domain name now: |
.com/.net/.org |
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.com.au/.net.au |
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| Do you want Adicd to provide hosting facilities |
yes /
no |
What is your current hosting cost (per month). |
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Hosting platform |
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Access method |
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Acces username: |
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Acces password: |
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| Adicd hosting plans: |
Basic Unix ($29.95/month)
Advanced Unix ($49.95/month)
Self Service Unix ($19.95/month) |
Preferred username: |
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Preferred pasword: |
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Recuired access method: |
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Control Panel: |
Standart (more info)
Plus
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Spam Bouncer: |
(more info) |
| Do you want a templated website or a unique one? |
templated /
unique
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Template ID number: |
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NOTE: If you want Adicd to do the construction of your website you don't have to proceed with purchasing the template online. |
Competitions website address: |
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Website address of which you like the style: |
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| Website structure: |
HTML
/ ASP
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| ASP (Active Server Pages) can be used in conjunction with database to display selected information. |
| HTML is a static website structure that is used for most websites. |
Number of static pages: |
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Number of form pages
(contact, order, feedback forms) |
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| Number of database driven pages: |
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Additional required features. |
(tick if required) |
 Online shopping. |
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Number of items in store: |
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Shopping cart: |
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Payment facilities: |
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Merchant facilities by third party: |
Inhouse
Third party |
Merchant banking details*: |
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*Please provide contact details of your merchant banker so we can investigate what kind of merchant facilities are possible. |
Adicd recommends PayPall for processing your online payments. For more details you can visit their website
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Search Engine Optimisation : |
more information |
| Logo design |
view portfolio |
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Banner design |
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Email Stationary |
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