Website Request.

This Website Request Form is designed to help us thoroughtly understand what you need in a website. Please fill it out completely and to the best of your ability to avoide mistakes and/or delays. If you don't have a preference when it comes to design you can skip that part or that section fo questions. Thanks!

Company* Company Required field!
Business Address Required field!
Business Hours Required field!
Business tag line Required field!
First Name Required field!
Last Name Required field!
Email Required field!
Phone* Phone Required field!
Web Design Choice* What type of site are we designing Required field!
Type of Website* Required field!
Other - Fill in for type of website for previous question. Type of Website Required field!
What's Your Budget?* Required field!
Website Page Layout* Required field!
Do You have a current website /domain name? (Can offer service if needed)* Required field!
What is your Domain Name (e,g. www.YourDomainName.com) Required field!
Do you have web hosting? This is where website files are ssafely stored for online viewing. (can offer service if needed) Required field!
Web Hosting Company name Required field!
Web Hosting Login Username Required field!
Web Hosting Login Password Required field!
Do you have a website sketch or sitemap?* Required field!
Upload File here. Required field!
Number of pages in your website? (i.e. Home, About, Contact = 3 Pages)* Required field!
Page Names and Navigation? (e.g. Home, About, Services/ Service 1/ Service 2/ Service 3, Contact)* Required field!
Do you need the inside pages custom designed?* Required field!
Goals of Website?* Required field!
Examples of Websites you like?* Required field!
All wordpress sites are based on these themes.* http://mysitesamples.com/ Required field!
Competitor's Websites Required field!
Do you have a logo, photos, copy for website?* We will provide you with the ability to upload additional files later. Required field!
Website Features?* Required field!
Website Features?* Required field!
If you choose, "Home Page Slideshow", please tell us how many panels you would like, and what youo would like featured on each one.* Required field!
Website Colors* Required field!
Website Mood/ Spirit* Required field!
Background? (click no preference if you would like to us to decide for you)* Required field!
Text Color? (click no preference if you would like to us to decide for you)* Required field!
Payment Gateways* Required field!
Shipping Required field!
Additional Comments* Required field!
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