Website Design Order Form

Add-on Services:

Payments

To initiate the project, a deposit is required, which amounts to half of the total package cost. Deposit is due prior to starting the project. Remaining balance is due upon last revision before final website is delivered. PAYMENT METHODS: CASHAPP, and ZELLE.

Website Design Questionnaire

This form will help me better understand your website needs. Please fill in as much as possible.
Your information
Your name (required)

First NameLast Name
Phone number
Format: (000) 000-0000.
Email
example@example.com
Business information
Is this for a brand new website or redesign of an existing website?
Business Name
Business slogan/ tagline
Business email (required)
example@example.com
Business Phone
Format: (000) 000-0000.
Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Do you own a domain name?
What is your current website address?
Leave blank if not applicable
What Hosting platform do you use? (Shopify, Wix, Wordpress, Square, etc)
Leave blank if not applicable
Hosting Login info

Email/usernamepassword
Describe your business

Use this section to describe your business

Choose the word that best describes your business

Rows	Does not apply	Somewhat	Best
Modern
Elegant
Simple
Fun
Casual
Colorful
Luxury
Masculine
Feminine

If none apply describe your business in a few words below
What products/services do you offer?
Who is your target audience (check all that apply)
Age group

Other
If none apply please describe your target audience in a few words below
Do you need a logo design?
Do you have a brand identity board?
Please list your business social media links (N/A if you have no business social media accounts):
Design

Use this section to tell us more about your design preferences
What is a website that you would like to be used as inspiration (include links)
Which is most important to you
Please select the pages you would like to be included (Privacy Policy page is included in all packages)

Other
Please select the page sections you would like to be included

Other
Please select the pages to be included in the Menu

Other
Document Uploads

Use this section to upload any relevant files
Upload logo (PNG or JPEG format only)

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Upload Graphics and Photos

Cancelof

List up to 15 Products/services to be uploaded (additional uploads can be purchased)

Rows	Name	Quantity	Price
Product 1
Product 2
Product 3
Product 4
Product 5
Product 6
Product 7
Product 8
Product 9
Product 10
Product 11
Product 12
Product 13
Product 14
Product 15

If this is a revamp of your current website, do you need a revamp of your product/ service descriptions?

List a description for each product

Rows	Product Description
Product 1
Product 2
Product 3
Product 4
Product 5
Product 6
Product 7
Product 8
Product 9
Product 10
Product 11
Product 12
Product 13
Product 14
Product 15

Upload Product Photos

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Terms & Conditions for Website Design Services

By submitting this form, you agree to the following terms and conditions:

1. Information Collection:
We collect personal information, including name, email address, phone number, and hosting login details, solely for the purpose of providing website design services.

2. Confidentiality:
Your information is treated with the utmost confidentiality. We do not share, sell, or disclose your data to third parties.

3. Use of Information:
The collected information is used exclusively for communication and the delivery of website design services. Your data will not be used for marketing purposes without your consent.

4. Security Measures:
We employ industry-standard security measures to protect your personal information. However, no online transmission or storage is completely secure, and we cannot guarantee the absolute security of your data.

5. Access and Correction:
You have the right to access, correct, or delete your personal information. If you wish to make any changes, please contact us at Karessroman@gmail.com.

6. Data Retention:
We retain your information for as long as necessary to fulfill the purposes outlined in this agreement or as required by applicable laws.

7. Acceptance:
By submitting this form, you acknowledge that you have read and understood these terms and conditions and agree to the collection and use of your personal information as described herein.

If you have any concerns or questions regarding these terms, please contact 321-682-1408 or Karessroman@gmail.com.
Signature
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Payments

Website Design Questionnaire

Your information

Business information

Describe your business

Design

Document Uploads

Terms & Conditions for Website Design Services