Website & Blog Design Request Form
Please complete this form to request a website or blog design quote. We will contact you soon.
Name & Company Name
E-mail Address
*
Phone Number
Website or Blog Address
(if you have one)
Describe how you would like the layout of your website or blog to look like, i.e, (main content in middle with sidebar on right and footer on bottom with menu bar on top)
Do you have a logo?
Please Select
Yes- please upload below
No
I need you to design one
Please upload below
Do you have any pictures to put on your website/blog?
Please Select
Yes
No
No- please add stock photos
Please upload below
What type of products / services do you offer OR what is the purpose of your blog/website?
Who are your target customers or readers?
Website & Blog: Pages, Sidebar/Footer Items to Include (click as many as you want)
Home
About Us
Services / Products Pages
Contact Us
Blog
Sidebar(s)
Footer
Terms & Conditions
Rates/Payment Information
Social Media Buttons
Newsletter/Follow Sign-Up
Photos
Sales & Promotions
Shopping Cart
Donation Button
Custom Form: Feedback, Quote, Contact Us, Etc
Portfolio of your Work/Services
Client Testimonials
Visitor Counter
Google Analytics
Google AdSense
Other
Home Page Content
Enter any content you want to be on this specific page
About Page Content
Enter any content you want to be on this specific page
Services / Product Page Content
Enter any content you want to be on this specific page
Contact Us Page Content
Enter any content you want to be on this specific page
Other Pages Content
Please name the pages and provide the content you want to be on these pages
Website/Blog Addresses that you really like for your industry:
Provide sites you would like your site to look like (not copy) - we design custom sites & blogs
Additional Comments/Special Instructions:
Any further information that can help us design a website to your preferences
Additional Services
Banner, Ad, Logo Design
SEO (SEO is already provided in your site or blog by keywords, meta tags & search engine submission)
Analytics set-up
Facebook, Twitter, Pinterest, LinkedIn, Manta, etc. Pages Setup
Mobile Website Design (your website or blog will be mobile ready!)
Local SEO (We make sure you show up in search engines for local services)
Local Directory Listing Setup- Google, Yahoo, Bing, Yext & More
Blog Posting/Writing Services
Online Ad Classified Posting (Craigslist, Backpage & more)
Search Engine Submission- We'll submit your site/blog to search engines
Other
Upload any files (such as logo, images, marketing materials or catalogs, etc.) that might be helpful to your website design
Upload a File
Upload logos, photos, samples, backgrounds, business cards & more here!
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If we have given you a total, please pay for your services here. We require 50% down to start a project and will invoice you the final 50% when the project is complete and you are satisified with the services.
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