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No one enjoys filling out forms, but for your project to be successful we need some information about your website.
Company Name *
Your Full Name: *
E-mail:*
Phone Number *
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Google Talk / Skype Username:
Launch date (e.g. 08/05/2008)
Is your launch date fixed or flexible? Fixed Flexible
Site desired Brand new Site Re-design of an existing website Maintenance or upgrade Template Design only Other, contact me.
Project Budget $100 - $250 $250 - $500 $500 - $1000 $1000 - $1500 $1500 - $2500 Other. Please, contact me.
Describe briefly your dream website. (e.g. Number of columns, color...)
What is the primary purpose of the site? (e.g. To make a sell, to make an inquiry, to show your portfolio...)
How many pages are required? Could you list them all? e.g. Home, About, Portfolio, Contact...
If E-commerce, how many products will you sell? Less than 10 products 10 to 30 products 30 to 50 products 50 to 100 products More than 100 products Don't know yet
URL of Web sites you like e.g. http://site.com
Competitors URL e.g. http://competitor.com
Additional Comments
Current Web site URL (if applicable)
Domain Information Need to Register a Domain Already have a domain Don't know, contact me Not Appicable
Website Hosting Information Need help me to find a host Already have a Host Don't know, contact me Not Applicable
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