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Tech
Innovations Bangladesh
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Order / Requirement Form
Fill this form to place an order or submit requirements for a project.
WhatsApp: 01531182391
www.gorai-tech.com
Client Information
Basic contact details for communication.
*
Required fields
Client Name
*
Client name is required.
Company Name (optional)
Mobile / WhatsApp
*
Mobile is required.
Email
*
Valid email is required.
Preferred Contact Method
WhatsApp
Call
Email
Referred By
-- Select --
Marketing Manager
Facebook
Website
Friend/Referral
Other
Address (optional)
Product / Service Type
*
Select one or more services.
Website
Software / Web App
Mobile App
SEO
Google Business Profile Setup
Facebook Page Setup
YouTube Channel Setup
LinkedIn Profile/Company Page
Instagram Setup
Social Media Marketing/Boost
UI/UX Design
Software Testing
Other Service (optional)
Please select at least one service.
Domain & Hosting
Choose if you want domain/hosting from Gorai Tech.
Need Domain from Gorai Tech?
No
Yes
Need Hosting from Gorai Tech?
No
Yes
Preferred Domain Name
Write domain name without extension if you want (e.g.,
yourbrand
).
Preferred Extension
--
.com
.net
.org
.bd
Hosting Type
-- Select --
Shared
VPS
Cloud
Preferred Hosting Plan
-- Select --
Basic
Standard
Business
Requirement Details
Explain what you want, features, and preferences.
Purpose of the Task
*
Purpose is required.
Features / Modules Needed
Preferred Technology
Reference Website / Link (optional)
Content Ready?
--
Yes
No
Logo Available?
--
Yes
No
Deadline
Estimated Budget Range (optional)
Priority
Normal
High
Low
Upload File (optional)
You can attach requirements/documents/logo/images (max 5MB recommended).
Extra Notes
Marketing Manager Name (optional)
Please verify required fields and select at least one service.
Submit Requirement
Submitted Successfully!
Thanks for your request. We have received your requirement and will contact you soon.
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