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Contact details (all data shall be kept strictly confidential)
Name:
Company:
Position:
Telephone:
Fax:
Email:
Website
Address:
Town/City:
Postcode:
Project:
Choose
Design
Graphical Arts
Web Design
Advertising
Other
Graphical Arts
Magazine
Newspaper
Leaflet
Poster
Billboard
Street hoardings
Logo
Stationery
Business cards
Letter heads
Envelopes
Invoices
Receipts
Report and Accounts
Frequency
Choose
Daily
Weekly
Monthly
Two-monthly
Quarterly
Six-monthly
Annual
Other
Circulation
Copies
Size of paper
pages
Dimensions
x
inch
Paper
Choose
IOR
Self-copying
Self-adhesive
Coated
MATT Coated
Gloss Coated
Other Fine Paper
Paper grams
Choose
80gr/m2
90gr/m2
100gr/m2
115gr/m2
120gr/m2
135gr/m2
150gr/m2
170gr/m2
200gr/m2
250gr/m2
Other
Colours
Choose
1/0
1/1
2/0
2/1
2/2
2/3
2/4
3/0
3/1
3/2
3/3
3/4
4/0
4/1
4/2
4/3
4/4
5/0
5/1
5/2
5/3
5/4
5/5
Finish
Choose
1 fold
2 folds
Cut
crease
Perforation
Wire stapled
Glued
Special cut
Machine varnish
UV gloss varnish
UV matt varnish
Other
Colour proofs
Yes, quantity:
No
Images to scan
(quantity)
Images scanned
(quantity)
Do the images need
colour correction?
Yes
No
Web Design
New Website
On-line shop
On-line catalogue
Flash Intro
e-Newsletter
E-mail advertising
Banner
Product presentation
Site Makeover
Site maintenance
Site hosting
How many pages do you think you will need?
Do you want to register your domain?
Yes
No
If so, give three address options:
www.
.
.com
.net
.info
.org
.pt
www.
.
.com
.net
.info
.org
.pt
www.
.
.com
.net
.info
.org
.pt
How many email boxes do you think you will need?
1-5
5-10
10-20
20-50
50-100
100 >
Would you like a form to send messages?
Yes
No
Quantity of Images to scan
Quantity of Images scanned
Do the images need corrections?
Yes
No
Comments
