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Services Information Request
Web Site Services Quotation Request
Web Site Services Quotation Request Form


To request a quotation of the web site services provided by Azure,
simply complete and submit the following form.   Please complete all
required fields [*].

 
Contact Information:
Salutation (Mr., Mrs., Ms., ...): 
First Name [*]: 
Last Name [*]: 
Title: 
Company: 
Department: 
Address [*]: 
 
 
City [*]: 
State / Province: 
Zip Code / Postal Code: 
Country [*]: 
Web Site: 
Telephone [*]: 
Facsimile: 
E-Mail Address[*]: 
Have a company representative contact me to discuss Azure's
web site services and / or the web site services quotation
Send me e-mail about updates to this web site
What Best Describes Your Industry Sector [*]:

What Web Site Services Do You Require [*]:
(please select one or more)
Design
Development / Implementation
Deployment / Hosting
Re-Design
Language Localization: Please Specify Language(s) Below
Site Optimization
Site Maintenance
Database Design, Development, and Deployment
Other: Please Specify In Comments
Please Identify The Features And Requirements Of Your Web Site [*]:
(please select one or more)
Integration of Corporate Name and Logo
Development and Integration Of Custom Graphics and Images
Integration Of Pre-Defined Graphics and Images
Flash Intoduction
Mouse-Over Buttons and Images
Colour Scheme Customization
Other Design / Feature Customization: Please Specify In Comments
Online Database Retrievals
Static Database Retrievals
Pop-Up Windows
eMarketing / eCommerce Strategies: Please Submit Detailed Functional Specification
Other Features and Requirements: Please Specify in Comments
How Many Web Pages Are / Will Be On The Site [*]:
(including Contact Us page, About Us page, Site Map page, etc.)

Does Your Web Site Require Any Of The Following Online Forms
and Links:
(please select zero or more)
Site Keyword Search
Information / Product Request Form
Contact Us Form
Secure Forms
A Links Page
A Link To A Map For Directions
Other Online Forms: Please Specify In Comments
Other Links: Please Specify In Comments
Will Any Of The Following Site Promotion Activities Be Required:
(please select zero or more)
Site Search Engine Optimization
Site Search Engine Submission
Banner Advertising
Site Registration With Other Sites
Other: Please Specify In Comments
What Languages Are To Be Supported By The Web Site:
(please select one or more)
English
Japanese
 Korean
Simplified Chinese
 Traditional Chinese
Dutch
 French
Italian
 Russian
Spanish
Other: Please Specify In Comments
What Type Of Post-Installation Technical Support Do You Require [*]:

What Is The Timeframe For When You Require Web Site Services [*]:

What Is The Budget For Your Web Site Development / Update [*]:

Did You Have A Detailed Request For Quotation Or
Request For Proposal Available [*]:



If you answered Yes, please e-mail a copy of the RFQ / RFP to Azure's Web Site Development Team or fax it to +1 (604) 732-4648.

How Did You Find Out About Azure And It's Web Site Services [*]:

What Is Your Preferred Method Of Contact For The Quotation [*]:

What Is Your Preferred Language For Correspondence:

Other Comments and Questions:




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