* Name:
Company Name:
* Email:
* Phone:
* Services needed: - Select one - New website design Redesign of existing website Updates / webmaster services for existing website
* Type of website: - Select one - Business Church/Ministry/Nonprofit Organization Personal website Informational website Other
If other please specify:
* Short description of your business, organization, or church (if personal website, specify subject):
How did you hear about us? - Select one - Referral Search Engine Link from another site Other
Desired completion date:
How many pages? 1-3 4-6 7-10 10-20 20-30 More than 30 Not sure
I will need the following (check all that apply):
Hosting for website
Domain name registration or renewal
Email Accounts
Blog
Contact Form
Forum
Mailing List
Photo Gallery
Number of email accounts:
Domain name(s) I would like to register if available:
Logo: - Select one - I have a logo in digital format I have a logo in print format that can be scanned No logo available
Text: - Select one - I will provide the text for my site in digital format I will provide the text for my site in printed form I will provide information but not the final text
Photos: - Select one - I have digital photos for my website I have printed photos that can be scanned No photos available
I would like Fern Web Design to (check all that apply):
Create a logo graphic for my website
Write the copy (text) for my website
Find stock photos for my website
Will you be selling items from your website?
Yes
No
If yes, how many?
Any additional information or comments:
If this is a redesign, what is the URL of website:
URL of website:
I need the following services (check all that apply):
One time update
Occasional updates
Monthly updates
Weekly updates
Daily updates
Annual domain name renewal
Please describe what type of updates you need for your site:
*
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