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Information about you

Your Full Name:
Company Name (if applicable):
Phone Number:

Describe your project

Launch date:
Is your launch date fixed or flexible?
What type of Web site design services are you looking for?

What is your total estimated budget for this website design project?

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...
What features do you want on your website?

If E-commerce, how many products will you sell?

Describe if you will provide any of the following content or materials?

URL of Web sites you like
Additional Comments

Web hosting information

If you are looking to upgrade or redesign your current Web site, please indicate the URL:
Domain Information:

Website Hosting Information

Additional Comments:

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