Kindly print out this form and fill in the following details and fax to 603-8064 2033.
We will fax to you our official quotation as soon as possible.

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To : Wech Engineering Services
Fax: 603-8064 2033
Re:  Web and email hosting enquiry

* please tick one

1) Web page design and development:*		Template-based web page (5 web pages, 12 image scans)
		Custom-made web page

   Additional web page:           Additional image scan:

2) Domain name registration: *		.com.my
		.com

 3) Prefer domain name (please list 3):

First preference:
Second preference:
Third preference:

4) Server hosting package:*		Beginner
		Intermediate
		Advanced

 

5) Choose server:*		Windows NT
		Windows 2000
		Linux

 
 6) Company information:

Company name:
Address:
Tel:
Fax:
Email:
Contact person:
ROC or ROB registration number:
(required for .com.my only)

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