APPLICATION FOR DESIGNING, UPLOADING AND MAINTAINING WEBSITE

GRINFOS

GREIG INFO SYSTEMS

E-Mail IDs: grinfos@yahoo.co.in | websites@grinfos.in
 Phone: 00 91 474 2530 412,
Mobile: 0091 93879 68998

WEBSITE DIVISION

 VIII / 370,   CHURCH ROAD, PULLICHIRA PO,   KOLLAM,
KERALA STATE,        INDIA.
 PIN - 691 304

Dear Sir,

Hereby I am sending my Order for my/our website. And I request you to design, create & maintain a website with the Domain Name, mentioned below. I do hereby  agree to make the payment as per your terms & conditions, including Domain Name Registration & Disc Space.

 

 Please enter the following details

Name of Applicant

  

Company Name

  

Title

  

Address with Pin/Zip code

  

Phone

    

Office

  

Residence

 

Mobile

 

Email

 

Fax

  

Requirement

 

Type of Website

  

Do you want to list the site in the Search Engine

 

Budget

   to

Please list the Menu items for your Website

  

Details your project, so that we can provide you with an accurate quote

 

Will you sell/by products on your website?

 

Mode of payment

  

Suggested Domain Names

   www.

Required Web Space

  

Suggestions

 


NB:

bullet Payments through Bank only.
bullet For more details visit Payment Mode.

Author: Grinfos
Copyright © 2003, Reserved to Grinfos
This page was last updated on: 04-Feb-2009