Visual Imagry, Inc.
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Design Estimate Form
941 West Moana Lane, Reno, NV 89509
(775)   email: deebeaugez@visual-imagry.com
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URL Requested:    http://www._______________________
Comments:
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Deadline for proof:
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Posting Date Requested:
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Authorization
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Information Needed for Estimate:
Company

Name:
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Address (Street):
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City:
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State:
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ZIP:
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Phone:
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FAX:
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email:
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Number Form
(GIF/Word6 /JPEG/Other)
Logo (please provide): ______________________
Photos (number): ______________________
Graphics ___________________
Outline: Please attach
Copy to Include Please attach


Please Provide any additional information that may help in the web design.

Work authorized by:
Name _______________________________________________
Title ________________________________________________ 

Date ____________________



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