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Free quote for your web project or visit
Give your site the exposure it needs

if you have prepared a request for proposal (rfp) then email this to with "please quote me" in the subject box.

or simply complete the form below with as much specification as possible then click submit form
Your Requirements Your Schedule/Budget
Your Strategy
Further Requirements  
secure order/booking form domain name(s) registration
non secure order/booking forms web site hosting
membership facility search engine submission
site content management/update facility ongoing site updates
flash graphics animation/introduction  
Use the space below to provide any further information that may assist us in providing you with a more detailed proposal/cost.

Your Contact Details

Your Name: Your Position:
Email Address: Best time to call:
Business Name: Years in business:
Address: Description of your business/organisation:
Post Code:    
How did you learn about Mediam Internet?:
This information you provide will only be used to contact you regarding your initial enquiry. We will not disclose your information to any other company.

when ready, press submit form


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