Website Requirements Card

1
Please Enter Date
2
Full Name* This field is required.
First Name
Last Name
3
Business Name* This field is required.
4
Address
Address
Street Address Line 2
Suburb/Town
Please Select
Please Select
QLD
NSW
VIC
TAS
SA
WA
NT
ACT
State
Postcode
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
ABN Number* This field is required.
6
Email* This field is required.
example@example.com
7
Additional Email
example@example.com
8
Landline Number* This field is required.
9
Mobile Number* This field is required.
10
Requested domain name:
(eg. https://mywebsite.com.au) *Pls Note Short Domains are better
11
Choose Your Package Type* This field is required.
Single Page Interactive Website “Landing on the Web” Package
Three Page Website “Get on the Web” Package
Six Page Website “Grow on the Web” Package
12
Extra Website Page/s
0
0
1 Extra Page
2 Extra Pages
3 Extra Pages
Quantity
13
Choose Your Hosting Plan
Hosting per Year
Hosting per month
14
Choose Your Maintenance Plan
Maintenance (Yearly)
Maintenance (Monthly)
Maintenance Updates (Casual)
15
Choose Your Website PagesEvery Website comes with a "Home" or "Header" Page included. Please choose which other pages suit your Business or needs. Depending on which package you have chosen we can add extra pages for an additional charge.
About Us
Services
Combined About Us / Services Page
Gallery or Portfolio
Testimonials
Team or Staff
Custom Page (Videos, Social Media Feeds, News etc)
Map Page/Section
Contact Us (Please see Contact card for details *Not recommended for 3 Page Website Package)
16
Additional Website Page Info
Domains you wish to have redirected to website
17
Website Preference Colours (If Any)
eg. https://mywebsite.com.au
18
Website DesignThis Is How Your Website Will Look
19
Choose Your Contact Page* We Recommend on our "3 Page Website Package" to insert your contact details within About us. Thus saving a page
Simple Contact Form
Subscribe Form
Multichoice Form
Questionaire Form
Data Collection Form (Personal Details etc)
Special Form
None
20
Name of Existing Facebook page (if any)
21
Do You Want a FB Business Page?
Yes - Facebook Business Design Package
No
Maybe
After Site Complete
22
How long have you been in Business?
Years
23
Do you have a Blurb about your Business?
Huge
Large
Normal
Small
Ok
Ok
24
Are You A Family , Sole Trader or Employees Company?
25
Do You Have Any Certifications?
26
Do You Have A Logo Or Shall We Do One For You?
Yes
No
Already Have One
27
How Would you Like Your New Logo To Look?
Huge
Large
Normal
Small
Ok
Ok
28
Is It Ok To Use Stock Photos For Your Site?
Yes
No
Some
Maybe
Designers Choice
29
Do You Have Pictures?
30
What Services Do You Offer?
Please List All For Website
31
Do You Have A Tag Line or Slogan?
32
What Areas Do You Service?
33
Which Site Map of your Area Would You Like?
Google Map
Image Map
None
34
Do You Want To Show Your Address On the Site?
35
Do You Offer Pension Discounts?
36
Do You Offer Guarantees?
(eg. Go Daddy)
37
Do You Have Mission or Vision Statement?
38
Extra URL/s
0
0
1 -
2 -
3 -
39
2nd Choice Website domain name:
(eg. https://mywebsite.com.au) *Pls Note Short Domains are better
40
Existing Domain Name
41
Persons Name Domain Is Registered In
42
Domain Registrant
43
Domain Registrant Log In Details
44
Domain Registrant Password
45
Additional Redirection Domains
(Number Of Staff)
46
Any Other Social Media
47
Do You Require E commerce Options?
48
PayPal Integration?
Yes
No
49
PayPal Buttons?
0
0
1 -
2 -
3 -
4 -
5 -
6 -
7 -
8 -
9 -
10 -
50
Custom Payment Options
51
Shopping Cart?
52
Business Emails
None
Emails Yearly
Emails Monthly
53
Email Addresses RequiredI.E info@, orders@, admin@ yourdomain.com.au
54
Testimonial Details
Huge
Large
Normal
Small
Ok
Ok
55
Do You Offer Weekly Or Monthly Specials?
56
Do You Want To Fully Optimise Results For Your Website?Tick 1 or more options below if your interested in driving more Business to your Website
Content Management Plan
Seo Optimisation Plan
Community Managed Plan For Facebook
Community Managed Plan For Instagram
57
Images For Your Website
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
58
Blurb About Your BusinessAbout Us, Services, Prices Etc
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
59
Existing Logo If AnyPlease provide high resolution Image
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
60
Any Certifications or Accreditation'sAlso any Qualifications You Wish To Add
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
61
Area MapYour Service Area etc
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
62
Staff PicturesYour Staff or Team Pictures if required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
63
Any Other Relevant Documents
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
64
Any Further CommentsAnything else you wish to tell us about for your website
Should be Empty: