Website Form

Website Design Order Form
E-mail
Name
Company
Phone Number

Area CodePhone Number
Website Information
Website Name
Desired Domain Name
Alternate Domain Name, if first choice is not available
Please provide a brief summary of your website
Contact Information you would like shown on website
Colors & Design Options
Main Color Preference
Secondary Color
Is there a particular style you would like for your website?
Example: I would like a western feel with leather background.
Examples of other websites you like:
If there is a website you really like, please list it and let us know what parts of the site you find the most appealing.
Your Logo/Brand

Upload a File

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Pages
Text/Information for Page One
Information for Page Two
Information for Page Three
Information for Page Four
Information for Page Five
Information for Page Six
Information for Page Seven
Information for Page Eight
Payment
Website Total

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USDPlease Enter Negotiated Amount
Materials
Do you need this design by a specific date? If so, when?
Websites can take up to a month to create so please contact us if you need your site complete sooner.
Please send any photos you would like used on your website to use at valordesigns@live.com. We must have your photos and site information complete before we are able to start creating your website.
If you have any questions, please feel free to contact us at valordesigns@live.com or by telephone at 575-640-1161.
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Website Design Order Form