Contact Information

Telephone: +(40-252) 316 839
Fax: +(40-252) 316 839
Mobile: +(40-745) 526 896
Postal address
84 Crisan Str., Bl.S1 Sc.1 Ap.5
Drobeta Turnu Severin
Mehedinti 1500, ROMANIA
Electronic mail: office@multimedia.com.ro
Web Site: http://www.teleactivities.com

Please fill out the following form to receive an estimated price quote.

Estimation Request Form

Do you have your own domain name?

If yes, what is your domain name?

How many pages will your web site contain?

What is your intended site budget?

Will your site be:

E-commerce

Presentation

Will your site need:

	Logo		Graphics
	Database		Online forms
	Counter		Guest Book

First Name:

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Address:

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