Digital Essentials' Web Design Form
First and foremost, we want to thank you for choosing and trusting us to design your website. Digital Essentials strives to provide individuals and businesses with professional creativity through daily designs and communications. This form is for individuals seeking our booking + store combo website type.
BUSINESS WEBSITE DESIGN TYPE - Booking + Store
In this form, we will collect information regarding you, your business, business specific details, web design preferences, and more. We ask that you complete this form with both accuracy and honesty. The information submitted on this form will be utilized to create your web design.
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Digital Essentials' Web Design Form
Type: Booking + Store
About Section
In this section, you will provide us with basic information about you and your business.
Name
*
First Name
Last Name
Personal Email
example@example.com
Business Name
*
Business Email
*
Confirmation Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Phone
Please enter a valid phone number.
When is your ideal launch date?
*
-
Month
-
Day
Year
Date must be at least THREE-FOUR weeks from today.
Does your business have an EIN?
*
Yes
No
Is your business registered with the Secretary of State?
*
Yes
No
Upload your logo here.
*
Browse Files
Drag and drop files here
Choose a file
Please note, we do not offer logo designing at the moment.
Cancel
of
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Digital Essentials' Web Design Form
Type: Booking + Store
Web Design Preferences+ About Details
In this section, you will provide us with detailed information about you and your business.
Do you have a domain?
*
Yes
No (I will create one for your business. No worries)
Please list the domain you own or would like to own.
*
Example: www.parasheas.com, www.nike.com...
Would you like to use "info" or "support" or something else for your business email?
*
info@businessname.com
support@businessname.com
Other
List your Brand Colors
*
Only include THREE. Be as specific as possible. Provide HEX codes if available.
Business Mission Statement
*
Business Vision Statement
*
Business Motto
Additional Information?
Is there any additional information you need/want to be displayed on your website? List it here. Be detailed and thorough.
Submit a pdf list of ALL booking services. Please include: Service Name, Service Description, Service Variations, Service Price, etc.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit a pdf list of ALL products. Please include: Product Name, Product Description, Product Variations, Product Price, etc.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
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Digital Essentials' Web Design Form
Type: Booking + Store
Please read and review the following statements. Once you've read, reviewed, and agreed to all of the statements provided within this section, date and sign this form. By signing this form, you agree that the information submitted within form is both accurate and true. You also agree that you have fully read, understood, and agreed to the information provided within this form.
Business Name
*
Choose a Design Level
For more details about each level or specifics about the differences, please view Digital Essentials Canva Link or contact us via email (dortydajonique@gmail.com).
Digital Essentials: Store Web Design Levels
*
Categories:
All
All
Web Design (Month to Month)
Web Design (1 Year)
Add-Ons
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Web Design (Month to Month)
Booking + Store Level 1 Design (Month to Month)
This web design level includes a high-quality website design, booking/store set up, 12-hour/6-day website support, and pre-written policies.
$
1,000.00
Booking + Store Level 2 Design (Month to Month) 2
This web design level includes a high-quality website design, booking/store set up, three social media flyers, 12-hour/6-day website support, and pre-written policies.
$
1,500.00
Booking + Store Level 3 Design (Month to Month)
This web design level includes a high-quality website design, booking/store set up, five social media flyers, personalized brand board, 12-hour/6-day website support, and pre-written policies.
$
2,000.00
Web Design (1 Year)
Booking + Store Level 1 Design
This web design level includes a high quality web page design, booking / store set up, domain registration and protection, email registration and protection, a one-year website plan, 12 hour/6 day website support, and pre-written policies.
$
3,800.00
Booking + Store Level 2 Design
This web design level includes a high-quality website design, booking / store set up, five social media flyers, domain registration and protection, email registration and protection, a one-year website plan, 12-hour/6-day website support, and pre-written policies.
$
4,600.00
Booking + Store Level 3 Design
This web design level includes a high-quality web page design, booking / store set up, five social media flyers, 6 email campaign for 1st year, domain registration and protection, email registration and protection, a one-year website plan, 12-hour/6-day website support, and pre-written policies.
$
6,400.00
Add-Ons
Form Add-On
Includes a form creation for clients/team to complete. Will be displayed on website.
$
20.00
Quantity
1
2
3
Email Campaign Add-On
Create an email campaign to send to clients/team directly from website/Wix.
$
50.00
Quantity
1
2
3
4
5
6
Design Advertising Removal
Removes "Proudly Designed by ...." from the website's footer.
$
300.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Afterpay
After submitting the form, you will be redirected to Afterpay to complete the payment.
Service Description Statement
I understand the service I am purchasing is a web design for businesses needing a booking and store combo site. I understand that a website design does not include building a business' brand. I understand that Design Essentials will not responsible for editing images, creating product descriptions, conducting research, or any other services outside of web design.
Authorization Statemet
I give full authorization to Digital Essentials to utilize the information provided in this form.
Agreement Statement
I am either the owner or have authorization from the owner of the above-listed business. I confirm the information provided in this agreement and form is both accurate and true. I understand the submission of this form is for web design services. I understand Digital Essentials can deny or terminate the requested service(s) at any time. I give Digital Essentials full permission to utilize the information provided within this form. I agree to fulfill the full payment of services requested. Failure to fulfill the payment will result in service rejection.
Today's Date
*
-
Month
-
Day
Year
Date
Name
*
Prefix
First Name
Last Name
Suffix
Signature
*
By signing this agreement, I agree that the information submitted within form is both accurate and true. I agree that I have fully read, understood, and agreed to the information provided within this form.
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