Schedule A Consultation

Schedule A Consultation
Name *

First Name Last Name
Are you located in the United States? *

Yes No
Please note: Currently, we can only work with clients based in the United States.
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *

Confirmation Email Make sure this is an email address you would like us to use as a contact email.
Phone Number *
Please enter a valid phone number.
Website
Select Your Package *

Professional ($599) Socialite ($799) Bookseller ($1299) Create Your Own Package (Starting at $399)
Learn more about our Packages.
Domain Registration (check all that apply) *

I need a domain registered for me (no fee) I want additional domains ($20/ea.) I own a domain and don't want to transfer to your registrar (no fee) I own a domain and want to transfer it to your registrar ($50) Private domain registration ($15/domain)
Primary Domain for my Author Website
Additional Domains ($20/ea.)
i.e. www.example.com; www.example.com; etc.
I Already Own This Domain
Hosting Care Package

Yes, I want your Hosting Care Package! ($240/yr, prepaid annually) I have my own hosting but would like to transfer to yours. ($240 + $50 transfer fee) I have my own hosting and would like to keep it. ($200 convenience fee)
Learn more about our Hosting Care Package here.
Design Elements. Check all that apply.

Header: Stylized Name Branding ($75) Header: Advanced Graphic Banner ($100) Background Texture ($75)
Premium Features. Check all that apply.

Blog Social Media Share Buttons ($25) Social Media Bookmark Buttons ($25) Social Media Live Widgets ($50) Analytics ($25) Mailing List Sign-up Form ($75) Mailing List Creation ($25) Buy Now Button ($15) Events Calendar ($25)
Learn more about Premium Features.
Optional Add-Ons. Check all that apply.

SiteGuard ($50) Scrolling Image/Slideshow ($15) Additional Images ($10) Additional Pages ($20)
Learn more about Optional Add-Ons.
Number of Additional Images ($10/ea.)
Number of Additional Pages ($20/ea.)
Please indicate the best day for your call. Please select a weekday, Monday through Friday, for your consultation call. The Web Design team is available between 9:30 AM and 3:00 PM EASTERN TIME. *

Month Day Year
Date
Hour Minutes AM/PM Option
How did you hear about Web Design Relief? *

Writer's Relief mailing Writer's Relief website Facebook Twitter Tumblr LinkedIn Pinterest Google search Referral from a friend or colleague An existing client's website Other
Should be Empty: