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20
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1
Full Name
*
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2
Email Address
*
This field is required.
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3
Phone Number
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4
Business Name
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5
Business Phone Number
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6
Brief Description of Your Business
Please provide a short summary of what your business does.
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7
Current Website/Social Media Links
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8
Industry Type
*
This field is required.
Please Select
Restaurant
Retail
Service-Based
E-Commerce
Personal Brand
Please Select
Please Select
Restaurant
Retail
Service-Based
E-Commerce
Personal Brand
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9
What Is the Main Purpose of Your Website?
*
This field is required.
Website Goals
Generate Leads & Inquiries
Showcase Products or Services
Accept Appointments or Bookings
Share Menus/Prices
Feature/Collect Reviews and Testimonials
Sell Products Online (E-Commerce)
Other
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10
What Type of Website Are You Looking For?
*
This field is required.
Please Select
Basic Info Page
Landing Page
Multi-Page Website
E-Commerce Store
Restaurant/Digital Menu Site
Please Select
Please Select
Basic Info Page
Landing Page
Multi-Page Website
E-Commerce Store
Restaurant/Digital Menu Site
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11
What Pages Would You Like?
Select all that apply or specify others in the comments.
Home
About
Services
Contact
Blog
Portfolio
FAQ
Testimonials
Other (please specify below)
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12
Which Features Would You Like?
Contact Form
Online Booking or Scheduling
Live Chat or AI Assistant
Menu/Service List
Social Media Integration
Customer Reviews or Testimonials
Blog or News
Payment Integrations
Loyalty/Rewards Section
Other
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13
Do You Already Have a Logo?
Please Select
Yes
No, I Need One Designed
Please Select
Please Select
Yes
No, I Need One Designed
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14
Do You Already Have a Domain?
Please Select
Yes
No, I Need Help Getting One
Please Select
Please Select
Yes
No, I Need Help Getting One
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15
Preferred Colors or Style?
Let us know if you have any color preferences, style inspiration, or branding guidelines.
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16
Do You Have Any Written Content?
Please Select
Yes
No, Need Help Creating Content
Partial - I Have Some Material
Please Select
Please Select
Yes
No, Need Help Creating Content
Partial - I Have Some Material
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17
Billing Frequency Preference
Monthly
Bi-Monthly
Quarterly
Annually
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18
What is Your Reoccurring Budget?
Please Select
$15 - $50
$50 - $100
$100 - $200
$200+
Please Select
Please Select
$15 - $50
$50 - $100
$100 - $200
$200+
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19
Do You Have a Timeline?
Please Select
ASAP
1 - 2 Weeks
2 - 3 Weeks
1 - 2 Months
2 Months+
Flexible
Please Select
Please Select
ASAP
1 - 2 Weeks
2 - 3 Weeks
1 - 2 Months
2 Months+
Flexible
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20
Any Additional Comments or Special Requests?
Let us know if you have any other requests or information to share.
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