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Name
*
First
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Company/organisation/business name:
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Contact Information
Phone
*
Email
*
Address
*
Street Address
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State
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Will you be the decision-maker for this project?
*
Yes
No
Who will be the decision-maker for this project?
*
What is their email address?
*
How did you find out about me?
Social Media (Facebook, Twitter, LinkedIn, YouTube, Behance)
Google
Friend
Who referred you?
Type of Project:
*
Application
Kiosk
Branding
Website
Development
Misc
Please describe the project with as much detail as possible:
*
Who is your target audience/reader/consumer?
*
What stage are you at with this project?
*
What are your overall aims with this project? How will you know if it’s meeting those goals?
*
Is this project likely to be a once-off or ongoing?
*
Once-off
Ongoing
Do you have a deadline in mind?
MM slash DD slash YYYY
What is your estimated budget for this project?
*
Can you think of any challenges that may be associated with this project?
Name
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