Schedule A Consultation

Schedule A Consultation
Name*

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

YesNo
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.

BlogSocial 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.*

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

Writer's Relief mailingWriter's Relief websiteFacebookTwitterTumblrLinkedInPinterestGoogle searchReferral from a friend or colleagueAn existing client's websiteOther
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