WORDPRESS WEBSITE REQUEST FORM

ASquared Solutions Elevating Ideas into Exceptional Solutions

contact@drapopa.com

asquaredweb.com
WORDPRESS WEBSITE REQUEST FORM
CUSTOMER REVIEW
Name
Phone
E Mail
Address
Business Industry
WEBSITE DETAILS
Do you have an existing website?(Yes / No) If yes, provide URL
What type of website do you need? (Select one or more)Business Website, /Blog/News Website, E-commerce Store, Landing Page, Portfolio Website, Custom Website, Other....
Do you have domain & Hosting? (Yes / No) If yes, provide
Domain Name
Hosting Provider
If no, do you need help with domain & hosting? (Yes / No)
FUNCTIONALITY & FEATURES
What features do you need? (Select all that apply)

Contact Form, Live Chat, Booking System, Payment Gateway Integration, Membership/Subscription System, Social Media Integration, Blog Section, SEO Optimization, Multilingual Support, Custom Forms
Other
What features do you need? (Select all that apply)
DESIGN & CONTENT PREFERENCES
Do you have any design preferences or reference websites If yes provide URL
To list the required pages for the website
Preferred Color Scheme Branding Guidelines
Do you have a logo?
SPECIAL FEATURES
Do you need content writing services?(Yes / No)Number of Pages Needed(1-10,10+)
Do you need any event flyers, social media posts, banners, or other designs this year to support your website?
TIMELINE
Expected Completion Time (Dropdown: 1 week, 2 weeks, 1 month, Custom)
Any other requirements or special requests
Date

MonthDayYear
Date
Signature
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