ura.design/request.html

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      <h3>Request Design</h3>
      <p>Want to work with us on your project? Let us know more about your project, timeline and budget and we will get back to you within 48h!<br><small style="color: red; font-size: 14px;">Fields marked with an * are required.</small></p>
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              <p>Project name: <small style="color: red; font-size:16px">*</small><br />
          <input class='required' name='Project Name' placeholder='Project Name' type='text'></p>
              <p>Requester Name: <small style="color: red; font-size:16px">*</small><br />
          <input class='required' name='Name' placeholder='NAME' type='text'></p>
              <p>E-mail: <small style="color: red; font-size:16px">*</small><br />
          <input class='required email' name='E-mail' placeholder='EMAIL' type='text'></p>
              <p>What services do you need? <small style="color: red; font-size:16px">*</small><br />
              <input type="checkbox" name="Logo/Visual Identity" value="yes"> Logo/Visual Identity<br />
              <input type="checkbox" name="Style Guide" value="yes"> Style Guide<br />
              <input type="checkbox" name="UX Design & Consultation" value="yes"> UX Design & Consultation<br />
              <input type="checkbox" name="Copywriting" value="yes"> Copywriting<br />
              <input type="checkbox" name="Usability Audit" value="yes"> Usability Audit<br />
              <input type="checkbox" name="User Research" value="yes"> User Research<br /></p>
              <p>Tell us about your project with how much or little information you want to share: <small style="color: red; font-size:16px">*</small><br />
                    <textarea class='required' name='message' placeholder='Details'></textarea></p>
              <p><strong>Usability Lab</strong><br />
              Are you interested to apply for Open Tech Fund's Usability Lab if your project meets the criteria? Read more <a href="https://www.opentech.fund/lab/usability-lab" target="_blank">here</a>:</p>
               <input type="radio" name="Usability_Lab" value="Yes, interested"> Yes<br>
               <input type="radio" name="Usability_Lab" value="No, not interested"> No<br>
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              <p><strong>Budget (USD $)</strong><br />
              If you are not meeting the Usability Lab criteria, let us know what your budget is. We will get back to you afterwards. Alternatively you can also ask a quote by contacting us.</p>
                  <input class='required' name='budget' placeholder='0' type='number' min="0" max="9999999"></p>
            <p><strong>We partnered with Stickermule which supports many Open Source projects already! All approved projects can choose to receive $50 <a href="https://www.stickermule.com/" target="_blank">Stickermule</a> credit to get started with some swag!</strong>.</p>
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