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| Name: |
Company: |
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| Phone: |
Email: |
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| Desired Services: | ||
| Graphic Design / Multimedia | ||
| Computer Programming (Applications, Software, Web and Databases ) | ||
| Desktop Publishing | ||
| Web Hosting | ||
| Desired Technologies: | ||
| ASP | Java | XML |
| Action script | JavaScript | WML |
| Flash | SQL | Other |
| Planned Budget
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Due Date: |
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| Quote | Consultation | |
Service request description/comments/other:
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