Corporate Information
Company Name :
Contact Person * :
Email * :
Telephone * :
Fax :
City :
Country :
Website Details
Work :	New website Maintenance Re-Design
URL :	( If Maintenance / Re-Design )
Type of Website :	Information About Company Selling Products Online Other (If Other, Please Specify)
Budget	(USD)
No. Of Pages

Hosting Plan Plan1 Plan2 Plan3
What would you like us to design for your website ? Text (compiled for you by EBM) Graphics Custom animations Shockwave Javascript  Java (custom applets, applications) CGI script  Online Shopping
How would you like to promote your site ? Banner Advertisement Direct Mail Keyword buys  Submittal to search engines
Would you like us to devise a marketing strategy for you ? Yes  No
Would you like to incorporate e-commerce in your website ? Yes  No
How long would it take you to go in for a Website ? Within1 month Within 3 months More than 3 months
Any additional Information