1. Your Name(required)
2. E-mail(valid email required)
3. Phone Number
4. City
5. Were you referred by someone? Please provide their full name or email
6. Company Name (if applicable)
7. Existing website (if applicable)
8. Website Languages
9. English French Other
10. What type of website are you looking for?
11. HTML/CSS HTML/CSS with Flash PHP Flash WordPress Other Do not know
12. What color or color schemes would you like for your website? Background color? Button color?
13. If so, Which aspects of your site would you like to control?
14. Total number of pages?
15. Will you provide a logo? NO YES
16. Do you need a custom logo design? NO YES
17. Do you require a payment processing system? I do not need a payment processing system I need to process credit cards and paypal I need to process credit cards I need to process paypal
18. If you do not have a domain name, please write down some suggestions
19. Do you require hosting? NO YES
20. What button links would you like for your webpage? (Home, Products, About us, FAQ, Reviews, Contacts)
21. Other websites that appeal to you?
22. Do you have an idea for the design or a design already created? Please upload
23. Do you have a budget for this project?
24. $0-$500 $500-$1000 $1000-$2000 $2000-$3000 $3000-$5000 $5000-$10000 $10000+ No Budget
25. What is your project's completion date?
26. Notes or special requests:

 

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