Website Request Form
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
+1 or +233
Phone Number
What is your estimated budget?
*
What type of organization are you?
*
NGO
Ecommerce
Crowdfunding/Charity
Personal Blog
Person Portfolio
Business Corporate
Educational
Entertainment
Landing page
News
Event
Membership
Other
Do you plan to include any of the following types of pages in your site: Check all that apply
*
Blog
Staff/Board Members
Portfolio
Testimonials
Events
FAQ's
Projects
Careers/Jobs
Resources/Document Library
News/Press Releases
Shop/Products
Other
What this project is about?
*
Tell us about your business
Approximately how many pages/sections will your website have?
*
What is your current or intended website address?
*
eg. google.com
Do you need professional photography for your website?
*
Yes
No
I will provide my own images or products
Do you plan on selling items on your site?
*
Yes
No
Do you need hosting?
*
Yes
No
Will the existing website content be used?
*
Yes
No
I want a new website
Do you have a logo?
*
Yes
No
Yes, But I want a new one
Other
What types of additional functionality do you need on your site?
*
Photo Gallery
Video on Home Page
Rotating slideshow of images on home page
Online Application for Employment
Advertising Portal to Display Ads on your Site
Map with Multiple Locations
Members Only Password Protected Section
Social Share Buttons (Allow visitors to share website content via social media)
E-newsletter Sign Up
E-Newsletter Auto Send (Send newsletters from your blog posts automatically)
Email Contact Form
Social Media Feed
Timeline
Affiliates Slider
Other
Who is your target audience?
Please list your competitors' websites.
Do you have a color scheme?
*
Additional comments
Share your business profile with us.
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