Your Online Website Blueprints
Full Name
*
E Mail Address
*
Cell Phone
*
Budget
Your estimated budget for web design
Type of Website
Choose One
ecommerce
static
other
Existing or New Business
*
Choose One
Existing Business
New Business
Update Existing Website
Other
Logo's and Images
*
Choose One
Have Logo's
Have Images
Have Both Logo's & Images
Do Not Have
Style and Colors
short description of what kind of website you want 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 examples of other sites 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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