Website Information Form

First Name & Last

Company

Address

Company Phone

Phone for us to contact you

Email Address

Email for us to contact you

How did you hear about us?* How did you hear about us?* Friend/Colleague Google Facebook Instagram Youtube Other

Preferred Domain Name? (leave blank if you have one already)

Second Domain name incase the first is taken

What type of pages do you want to include in your website? What type of pages do you want to include in your website? Services Page Product Page About Us Contact Gallery Blogs Other

Tagline (Catchphrase): If any

Please list all the contacts you would like to have on your website: Name-occupation-number-email

What would you like to have on your website regarding branding and style?

Please LIST ALL of the services/products/brands you wish to advertise on your website. Put down the name of the service and a little bit about what that service does (if you have prices, please include those too):

List operating/open hours

What areas do you serve?

Please tell us about your business (Be as specific as possible when detailing your business, this will go on your website and will help us get the overall vision and goal of your company so we can design accordingly)

Why should a potential customer choose you over the competition?

What is your mission statement?

Tell us about your team?

Please Insert Your Logo Here File InputChoose FilesNo Files ChosenAccepted file types: jpg, jpeg, jpe, gif, png, pdf. Max. file size: 1 MB

Do you need some photos taken of your business? Do you need some photos taken of your business?YesNo

Please, tell us what you would like photos of Please, tell us what you would like photos of Inside your business location Outside your business location General products/services

Please tell us in detail if there are any special requests or something else you would like your website to be capable of.example: Payment Portal, Appointment Scheduling, Contact Forms, etc...