Your Online Website Plans
Full Name
*
E Mail Address
*
Cell Phone
*
Budget
Your estimated budget for web design
Type of Website
Choose One
ecommerce
static
dating
auction
app
other
Existing or New Business
*
Choose One
Existing Business
New Business
Logo's and Images
*
Choose One
Logo's
Images
Both Logo's & Images
Do Not Have
Style and Colors
short description of page layout and prefered color scheme
Domain Name
*
Choose One
Have Domain Name
Need Domain Name
domain name is your internet address, dot com or dot org
Hosting Service
*
Choose One
Have Hosting
Need Hosting
hosting is where your website is published
Links to Examples
include links to examples of similar site you like
Best Time of Day to Contact You
*
Choose One
8am to Noon
Noon to 4pm
4pm to 8pm
Any Additional Information
Security Code:
*
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