Client Website Information Form
Client Information
Requested Start Date
-
Month
-
Day
Year
Date
Requested Completion Date
-
Month
-
Day
Year
Date
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Company Name
Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website Details
Current Website URL
Number of Pages
Hosting Login Details
Hosting Login URL
Hosting Login- Username
Hosting Login- Password
Domain Login URL
Domain Login- Username
Domain Login- Password
Page Titles
Please type the names of page titles needed. Please separate names with commas
Page Content
Please type the content of pages, using the name of page, followed by the conent.
Image Upload
Browse Files
Drag and drop files here
Choose a file
Please upload all images needed for the website.
Cancel
of
Logo Upload
Browse Files
Drag and drop files here
Choose a file
Please upload all versions of logo needed for the website. vector is preferable
Cancel
of
Functionality and Features
Contact Forms
(Yes/No, Details)
E-commerce
(Yes/No, Details)
Booking System
(Yes/No, Details)
Blog
(Yes/No, Details)
Other Features
(Yes/No, Details)
SEO and Keywords
Target Audience
Competitor Websites
Separate with Commas
Preferred Search Engines
Separate with Commas
Social Media Integration
Social Media Links
Preferred Social Media Platforms
Separate with Commas
Submit
Should be Empty: