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Web Invent Application Request Form:
Name: *

First name: *

The person:
 Physics 
 legal 
Company:

function:

Town: *

E-mail *

Nr. phone: *

Desired Service:
 Web Site 
 Promote SEO 
 Advertising Design 
 Site redesign 
 Website Hosting 
 Domain registration 
Website:
 Personal 
 Presentation 
 Script - Defined programming 
 e-Commerce 
 forum 
 Other - I mention in the description 
Project description:

Reference sites:

How often will your site be updated?

Do you want us to deal with the Administration?

Do you want to deal with us?

Number of project pages:

Desired Web Domain:

Existing Web Domain:

Budget Available:

Other Comments:

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