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Contact Details
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| Name * : |
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| Company * : |
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| Email *:
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| Industry:
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| Website: |
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| Phone *:
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| City :
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| State* :
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| Country *:
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| Project Details
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| Project Title*
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Description*: |
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| Will this be part of an existing
project/or a new project?* |
New
Part of Existing Project
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Please give details if
it is a part of a bigger/ existing application: |
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Looking for services in
the area: |
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Technology
preference*: Languages:
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| Do you have a Web Server for
hosting you application? |
Yes
No
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Please enter any
information about competing/ similar web sites or
applications like yours that we can refer to?
(Reference websites or applications) |
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| Estimated start date of the
project* : |
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| Estimated end date of the project*
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| Estimated Budget*: (USD)
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$
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* Mandatory
fields |