Please fill up the form below properly

WEB DESIGN/BUILDING INQUIRY FORM


 
What is your budget level for this project?
More than RM20,000
RM10000 ~ RM19999
RM3001 ~ RM9999
RM1000 ~ RM3000  


 
What is your preferred website address (domain name)?


 
What kind of web hosting you want for your website?
Yes, I want the basic (shared) web hosting service
Yes, I want the powerful web hosting service
No, I don't need the web hosting service
I don't know what is web hosting! Do I need it?  


 
What kind of website design style you preferred?
Basic & Simple
Clean & Corporate
Modern & Futuristic
Elegant & Stylish
Cartoonic & Illustrated
Neutral & Comfortable
I have no idea about it, please give me your suggestion  


 
Do you want flash animation effect in your website?
NO, I don't want
Yes, for the first page only
Yes, I want the full flash website  


 
How many web pages you plan to have for your website?
More than 50 Pages
31 ~ 50 Pages
11 ~ 30 Pages
6 ~ 10 Pages
3 ~ 5 Pages
I have no idea  


 
What is your preferred website colour scheme?
please describe in brief


 
Please provide us your company name & registration number:


 
Please describe in brief about your company business activity:

E ACCESS SOLUTIONS
Company Reg. Number: 001664006-M


Our Creative Hub
Kepong, Kuala Lumpur, Johor Bahru


Office Address
Level 23, Premier Suite, One Mont Kiara,
No 1, Jalan Kiara, Mont Kiara,
50480 Kuala Lumpur.


Working Hours
10.00am - 6.00pm :: Monday ~ Friday
--- closed --- :: Saturday
--- closed --- :: Sunday
--- closed --- :: Public Holidays


Contact Number
Sales : 012-305 2655 (Mr. Kaven Neoh)
 
Tel : 016-261 7355
Fax : 03-6207 6779

Your Name

Email Address

Contact No.

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