* 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:
Hosting for website
Domain name registration or renewal
Email Accounts
Contact Form
Photo Gallery
Number of email accounts:
Domain name(s) 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
Will you be selling items from your website?
Yes
No
If yes, how many?
Any additional information or comments:
URL of website (if already registered):
URL of website:
I need the following services:
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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