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For those of you who would like to have your own little place on the Web, then
this setcion is for you. Not only can this site be for the home but for a small
Business as well.
Please fill out the form below and hit the submit button to send it to us! Or you
could copy the form and send it to us later via e-mail.

Home Site Application Form

Your Name
E-Mail
Tel (H)
Tel (W)
Cell
Province
Country
Description
Image& SoundYesNo
Java & FlashYesNo
Timespan

The Java and Flash option is there to tell us wether you'd like those features included.
The Images and Sound option is your choice wether we develop graphics and sound for
you or you provide the graphics and sound.
The Timespan option is the length of time in which you require the site
( Our Development time).

As soon as we recive this form or your e-mail we'll contact you and either meet or
have a meeting over the phone and all details will be provided to you
Please note that your details are handled with the utmost privacy.

Please Hit the Submit button !

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