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Full Name *
First and last name
Business Name *
E-mail Address *
Phone Number *
Briefly describe your business services. *
Preferred method to be contacted? *
Current Website (if any) *
Target Audience (who is your typical client, be descriptive as possible) *
Years in Business *
Average Gross Revenue *
Reference Websites (3 if possible) *
Briefly describe (in bullet form if possible),all intend option on your website *
Services you Require *
Project Budget *
Are you open to recommendations? *
Any specific colors your prefer (design related)?
Do you have a preferred platform for your website? *
If you answered yes above please state your preferred platform below
Timeline for this project? *
How did you hear about us?
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