WEB DESIGN INFO FORM
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Please provide your information below:
Your name (required)
*
First Name
Last Name
Your email (required)
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example@example.com
Phone number
*
Business Name
*
Business Address
What services do you need?
*
Website Design (Business)
Website Design (Non-Profit)
Website Maintenance
Review Site/Revisions
Content Creation (original and/or rewrite)
Design Redesign
Other
What is your approximate budget? (required) Share a realistic assessment
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Please Select
Less than $500
$600-$1000
$1000-$2000
$2000-$3000
Share a realistic amount of your investment to launch this project
Describe your Business (required)
*
Current or intended website domain
How soon do you need the new website completed?
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Please Select
2 weeks - 1 Months
3 Months
6 Months
Do you need hosting and email?
Yes
No
What is your color scheme? Suggest 2 colors.
Content Management System (CMS) to be able to maintain and add content to your website.
Yes
No
Not sure
Do you need E-Commerce?
Sell Products
Online Donations
Subscriptions
I have images
Yes
No
Buy stock images
What kinds of images best reflect your business? (Examples: business images, product images, industry, nature, etc)
Name specific additions to be included (Examples: shopping cart, calendar, events, member form, photo gallery etc.)
How important is Search Engine Optimization for your website?
Please Select
Not Important
Somewhat Important
Important
Very Important
Do you need a logo or branded materials?
Yes
No
Interested
Additional comments
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