Web Design Studio Enquiry Form

We will reply back as soon as possible

Just complete this form. Click on Submit when ready to send.

Your name:
Email :
Address:
Postal Code:
Company Name:
Company Add:
Contact No.:

Do you require our services?

Yes
No

What services would you like to know more about?

Web Page Design And Creation
Web Servers
E-Commerce
Website Hosting
Domain Name Registration

I am interested in,

Package 1
Package 2
Others

Specify:

Book Appointment

Day:

Month:

Year:

Time:

Choose A Time Slot:

Note: Duration of service depends on the nature of the project request. Average 1 week.

Important Notes

We will contact you by phone to arrange for an appointment.
The appointment is subjected to the time slots available for booking.
All payments must be in cash or cheque. 50% deposit is required upon

confirmation and the remainder upon completion of the project.

All Rights Reserved (c) 1999 Clearimage Enterprise.