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Feedback Form for Quote

Palmonics  Web Design

 
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To obtain a quote for a customised website:

complete the form below and then submit by e-mail, or print and post it,

OR phone Palmonics on 01974 272342 and discuss the options

Your general feedback on this site is very useful too.

 
 

Please complete this form and submit to Palmonics

printable version
 

Feedback Form

Your Name  

Company Name and/or  Location  

Your Position in the  Company  

Brief Description of  Business/Interest  

if no quote required, skip to "Query or Make a Comment"

I would like a quote for a new website    update of my existing site

Requirements

please give brief description of website or updates required - say if you are not sure about certain aspects

approximate number of web Pages   &  Pictures

I may also require:

Annual site maintenance

Marketing (promotion via search engines, directories &/or links)

Other features (sounds, music, animation ...)

Would you like us to:

visit you / your company?  yes    no 

  & take digital photographs?  yes    no 

Query or Make a Comment
 

E-mail address

Telephone

Address

How did you hear about us?

How you would like us to reply?

searching the Internetfriend or family advert

other, please specify

 

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 click on 'Submit' to send this form   click on 'Reset' to clear
 

NOTE: This form will be placed in your mail 'outbox' and may not automatically be sent,
so please check and do a Send & Receive if necessary.

 
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Palmonics Web Design, Talwrn, Llanrhystyd, Wales, SY23 5EL