Expression of Interest - Client Information Form

To give us a little more understanding of your needs please give us more information


Type of
service required
 How would you describe
your business activities?




Do you have a current web site?
 If yes please supply URL



Approximate web development
budget allocated to the project
 Do you wish to add
video to your site?

Do you wish to add an
online database to your site?
 Do you wish to provide an online
product catalogue on the site?

Are you able to supply us with samples
of your company’s market material?
 Would you like to have
Flash Animation on the site?

Please add your additional comments here.
Your Email address:
 Your Name:
  Globusz Publishing • Website Design Service

Thank you for contacting Globusz Web Design Service,
we will contact you soon and provide you with additional information.