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Contact Details

Name

Company:

Service required:

Message:

Website Details

Content Management System:

Website URL (if available):

Please describe what your website is about

Website Requirements

Do you require a custom look and feel theme/template developed for your website?

YesNo

How many pages of content would you like us to add for the website?

Is the content for your website ready?

YesNo

Design Requirements

Do you have a design already?

Design Files / Requirements

Website URL:

Provide 3 or more websites in your industry (or your competitors)

Please describe your design requirements in detail:

What is the purpose of your website?

Website Features

Please select the features you require on your website:

Photo Galleries	Blog	Multilanguage
Event Calendar	Business Directory	Maps
E-commerce shop	Product Catalog	Contact / Lead froms
Bookings	Forum	Helpdesk
Advertising	Social Networking	Downloads (eg. PDF, Docx)
Social Media Integration	Membership system	Financial / Online calculators
Newsletter / Mailing Lists	Multimedia (Image, Audio, Videos)	Other

Please specify any other features you may require:

Extension / Plugin Development

Please describe the plugin/extension requirements in detail

Provide any websites that may have similar functionality to what you require in your plugin/extension:

Attach any additional files/documents describing your requirements:

Project Info

Completion date:

When do you expect the project to begin and when does it need to be completed? Are there specific reasons for these dates?

Your budget for development:

Any additional project related information?

Tel: +27 31 100 0 100 Skype: mozami.net

1 Dorset Court,
450 Windermere (Lilian Ngoyi) Rd
Morningside
Durban
South Africa

Handcrafted with passion in Durban, South Africa