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Web Design Project Request
Contact Info
Name
*
Company
Address
*
City
*
State
*
Zip Code
*
Phone
*
E-mail
*
Business Info
What is the nature of your business?
Please include products and services
Who are your main competitors?
Website Info
Type of website
*
Personal
Business
Both
Other
Purpose of the project
*
New
Enhance
Redesign
Purpose of the website
*
Who is your target audience?
*
Have you registered a domain?
*
Yes
No
Have you setup a hosting account?
*
Yes
No
Do you have the content prepared?
*
Yes
No
If yes, what is the URL?
Ex: http://www.yourwebsite.com
If yes, who is the hosting provider?
Ex: GoDaddy, Bluehost
How many pages?
1-10
11-20
21-50
> 50
What features do you want in your website?
Slideshow(s)
Photo Album
Forms
Email Marketing Integration
Social Media Integration
Content Sharing Buttons
YouTube Integration
Payment Processing
Event Calendar
Appointment Scheduling
Language Translation
Online Chat
Forum
Blog
Maps
Design Info
Do you have high resolution images to use on your website?
*
Yes
No
What is you preferred style?
Clean & Simple
Bright & Colorful
Prim & Proper
Dark & Serious
Neutral & Modern
Other
What have you done to establish your brand?
Specific colors with HEX or RGB #s
General colors, like sky blue or apple red
1 logo
2 or more logos
Preferred fonts
Specified fonts
None of the above
Please specify:
Provide the URL of a website you like:
*
Ex: http://www.yourfavoritesite.com
Provider another URL of a website you like:
*
Ex: http://www.your2ndfavoritesite.com
What do you like about them?
What do you dislike about them?
Project Info
What is the desired start date?
What is the desired end date?
*
What is your budget for this project?
*
What was your estimated project cost?
Example: Your Estimated Project Cost is $1500-2000 This amount is provided by the
Website Project Estimate Calculator
.
Please provide any additional information here:
Additional Services
Are there additional products/services that you're interested in?
Hosting
Website Maintenance
Content Creation
Newsletters
Brochures
Promo Videos
Website Analytics
Social Media Marketing
Search Engine Optimization
Pay-Per-Click Campaign
Verification
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*
Example: 12
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