Website Design Request Form

Name

First NameLast Name

E-mail

example@example.com

Phone Number

Format: (000) 000-0000.

Company

Company Website

Type of Business

Type of Website You Need?

Type of Website Services Needed?*

Please list any detail items or vision you have colors etc.

I understand there is a non-refundable $300 website building fee. $200 upfront and $100 after the website is selected and agreed upon. Fees can be paid via Cash App, Zelle, & Venmo using the phone number (817) 937-3073.

Website monthly service fees can range from $75 to $150 a month depending on the demand of the website.

Monthly fees are due on the 1st of every month. A $25 late fee thereafter.

Note: There is a non-refundable $25 consultation fee required before building the website. Allows me to speak with the client and get your vision etc. before the arrangement.

YesNo