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Application Quote Form
Please fill in the form below to request more information regarding DESSS's Services and Products
NB all fields marked red * are required  
Name* :   Company Name :  
 
Phone No* :   Mobile :  
Email* :   Website :  
   
How did you hear about us?:  
 
   
Address 1 :   Address 2 :  
   
Country :   State :  
 
 
City :   Zip code :  
 
   
Project Details  
Project Title :  
 
Description :  
 
Will this be part of an existing project/or a new project? :  
 
Please give details if it is a part of a bigger/ existing application :  
 
Looking for services in the area :  





 
 
Any other please specify(separated by comma)  
 
Technology Preference
Languages: Microsoft 		 






 
 
Open Source and Java  



 
 
Adobe  





 
 
Oracle  
 
 
IBM  
 
 
Business Objects  

 
 
Others  



 
 
If not above, Please specify below(separated by comma)  
 
Do you have a Web Server for hosting you application? :  
 
 
Please enter any information about competing similar web sites or applications like yours that we can refer to?
(Reference websites or applications) 		 
 
 
Estimated start date of the project :  
   
 
Estimated end date of the project :  
 
 
Estimated Budget (USD) $ :  
 
 
Mobile Application Development
Web Development Services
IT Consulting
Outsourcing
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