BrandyWine Innovation Design Web Presence Information Inquiry
We will collect information for a preliminary discussion on the website design/build centered around a complete web presence strategy
Business Name
Business Name
Name
*
First Name
Last Name
Business E-mail
*
example@example.com
Business Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone Number
*
-
Area Code
Phone Number
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Provide your mission,vision/value statement for your business & a description of what your business does
*
Mission, Vision, Value Statement, Description of Business
What is your brand personality, target audience & goal of the website design/re-design
*
Brandy Personality,Target Audience, Goal of Design/Re-design
Do have preferred colors for your website?
*
Yes
No
If answered yes to the above question, provide the HEX codes or general coloring information
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Do you already own a domain?
*
Yes
No
If answered yes to the above question, provide your existing domain name
If answered no to the above question, provide a domain name you would like:
Do you require website administration/management of your site post website design/build?
*
Yes
No
If website maintenance is required only, please fill in the request in the box:
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Type of Website Required
*
Non-Profit Website (conveying information on social & local causes)
Membership Website (sign up & pay for services)
Blog Website (personal commentary or business content)
Portfolio Website (showcasing your work)
E-Commerce Website (selling products utilizing payments & shop page)
Landing Page (1 Page with information)
Other
Website Pages & Content Required(by default you will have at least 3 pages/HOME, ABOUT US & CONTACT)
*
FaQs
Video
Forms For Submission of Data (Surveys etc.)
Payments (outside of a traditional e-commerce site)
Image Gallery
Invoicing
Stock Photos
E-Commerce Products To Sell(Store)
Other
Products/Services You Require(if e-commerce is included in website)
If you require website customization not listed, pages & content not listed please provide your requirement
Do you require letterhead(If yes and you have an existing logo, please provide it in the file upload below(preferably in vector format .svg)
*
Yes
No
Do you require business cards(If yes and you have an existing logo, please provide it in the file upload below(preferably in vector format .svg)
*
Yes
No
Do you desire a brochure design or redesign? If a redesign please provide current brochure in file upload below
*
Yes
No
Website or Other Content (Images, Documents etc.) Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Details of what you are looking for letterhead, business cards or brochure design
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Preferred Method of Communication During Project
*
SMS(Text)
Phone Call
Email
Preferred Start Date of Project
*
-
Month
-
Day
Year
Date
Disclaimers:(Must check all)
*
I understand BrandyWine Technology Services, LLC offers 3 Free Revisions to the website design. Clear instruction on changes will be provided.
I understand that any delays in submission of this form will delay start of project.
I understand that a preliminary meeting to discuss project will be scheduled pending receipt of this form.
I do understand that regardless of if BrandyWine Technology Services, LLC manages the website or it is self-managed, there will be a recurring fee charged dependent on the type of website required and you give authorization for BrandyWine Technology Services, LLC to charge this recurring fee for hosting, storage and other services. This will be communicated prior to start of project.
Signature(Required)
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