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Thank you for considering Maitri Media & Design for your next project. If you'd like to receive a quote, please complete this form and click "Submit". If you need more information or have questions please contact us.

1. Contact Information (required):

Name:

Company Name:

Email Address:

Phone:

Business Type: please briefly describe your business or the purpose of your website.

2. Project Overview (required):

Project Type: please select the type of work required:

Changes to existing website
New website
Audio related
Video related
CD artwork
Other

Project Description: please briefly summarize your project requirements.

3. Website Development (optional):

Website Design: please select the kind of design you'd like us to create and the features required for your website.

None - I already have a website or an existing design.
Basic - I need to get online quickly with very little expense.
Intermediate - I want something that compares well with websites in my market.
Fancy - I want my site to be a work of art.

Home Page: creation of Home Page from design.

About Us: creation of an About Us page.

Contact Us: creation of a Contact Us page, with or without user feedback form.

Privacy Policy: Creation of a Privacy Policy page.

Terms of Use: Creation of a Terms of Use page.

Photo Gallery: Creation of a Photo Gallery with one ore more pages.

Additional Pages: please describe.

Shopping Cart: what kind of shopping cart do you need for your site?

None     PayPal     OS Commerce     Miva     Other     Don't Know

Database: what kind of database do you need for your site?

None     MySQL     PostgreSQL     MS SQL     Other     Don't Know