Bluecraft Website Update Request Form

1
Your Name* This field is required.
First Name
Middle Name
Last Name
2
Today's Date* This field is required.
Month
Day
Year
3
Company Name* This field is required.Your official name of your business and how you would like it to appear on your website
4
Your E-mail* This field is required.
5
Mobile Number* This field is required.
Area Code
Phone Number
6
Business Phone Number* This field is required.
Area Code
Phone Number
7
What is your website address* This field is required.Ie; Example.com
8
What updates do you need?* This field is required.Choose all that apply
Name Change
Logo Change
Address Change
Content Change
Image Change
Add Images
Design Change (may include fees)
Add Testimonial
Other
9
How can we help?* This field is required.
Huge
Large
Normal
Small
Ok
Ok
10
If you are requesting an image change upload it here (only 5 files accepted)File types accepted pdf, doc, docx, zip, mpg, jpg, jpeg, png, gif
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Browse Files
Cancelof
11
Phone Consultation RequestIf you have questions, please request a phone consultation.
12
Thank you for filling out this form. Here are your next steps.

We will email you the changes that were made so you can approve them.

You will receive an email at the email address you provided.

Once you preview, we can discuss any changes by email or phone.

And that's it!
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