www.luslookwebsites.com.au
CLIENT DETAILS For a web design quote/order.  
Name
 
Postal Address  
   
[ include postcode ]  
Country  
Email Address  
Contact Number  
DESIGN CRITERIA  
Business Name
Type of Business
Product

Company Logo


[ would you like one created? ] Please check box if you do
Company Colours
[if you have some in use or have a preference for particular colours]
Please supply any relevant information pertaining to your requirements.

Number of pages required [ if known ]

Page Names
[If you know the pages you require please check next to the box to select and add text to any you want created with a particular name or leave page choices up to me.

Please check here if this is your preference

Any other comments

ABN; 71014188951

This form is to be used as a guide to suit your individual needs.
Please fill in all details and I will follow through with a return call.
Web Design Order Form

Page updated; 04-Jun-2008 13:44 Lubka M. Novak © 2004