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Website Design Request
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summary :
Website Design Request
Client information
Full name
textbox6992
Email address
textbox3823
Area code
textbox2196
Phone number
textbox2670
Services
Type of website
Option 1
Option 2
Option 3
Option 4
(
0
)
select5573
Type of CMS
Wordpress
Joomla
Drupal
Other
(
0
)
select2314
Shopping
Shopping cart
(
12
)
Blog
(
23
)
Live chat
(
34
)
Hosting
(
45
)
checkbox4150
Other services
Marketing
(
23
)
Support
(
34
)
Training
(
45
)
Others
(
56
)
radiobutton1161
Designs
-
1
+
-
1
+
-
1
+
-
1
+
dyncheckbox2222
Additional comments
textarea1390
Attach design materials
Select image
Change
Remove
fileupload4898
Submit
{"submit_ajax":"1","add_css":"","add_js":"","onload_scroll":1,"preload_noconflict":0,"payment_st":1,"price_st":1,"price_currency_symbol":"$","price_currency":"USD","price_format_st":1,"price_sep_decimal":".","price_sep_thousand":",","price_sep_precision":"0","price_tax_st":0,"price_tax_val":"0","pdf_show_onpage":1,"pdf_charset":"UTF-8","pdf_font":"2","pdf_paper_size":"a4","pdf_paper_orie":"landscape","pdf_html_fullpage":"0","email_html_fullpage":0,"email_dissubm":0,"email_pdf_fullpage":0,"recaptchav3_enable":0,"recaptchav3_sitekey":"","recaptchav3_secretkey":""}
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