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Contact Details
Your Name:
Your E-Mail Address:
Company Name:
Hosting Details
Hosting Type

I want JanssenWeb to host and design my website, using the SiteManager
I want to use the SiteManager, but will bring my own design
I want only to host the website at the JanssenWeb servers

Domain Name

We do not yet have a domain name and want JanssenWeb to set it up
We do not yet have a domain name but will arrange it ourselves
We already have a domain name

Website Details
Estimated size Our website will have approximately web pages
House Style Our company has a house style (business cards, letters header, etc.) that I would like to use for the site

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