*(denotes required field)

First Name: *

Last Name: *

E-Mail Address: *

Company Name: *

Telephone: *

Billing Address: *

1. Please provide a list of 2 to 3 websites to draw inspiration from.

Website url 1:

Website notes 1:

Website url 2:

Website notes 2:

Website url 3:

Website notes 3:

2. Specify colors you would like to be prominent on your website. Pick the top 2.

3. Specify the top menu items for your website. Examples are given below:

• Home
• About
• Services
• Contact
• Portfolio
• Testimonials

menu items:

4. Image Gallery:

Yes
No

5. File Uploader/Manager:

Yes
No

6. Message/Discussion Forum:

Yes
No

7. Business Directory:

Yes
No

8. Quotation System:

Yes
No

9. Other: Please specify:

10. Will you need the ability to manage/maintain it yourself via a Content Management System (i.e. WordPress, Joomla, etc.)?

Yes
No

11. Will you need Search Engine Optimization Services?

Yes
No

12. If yes, please specify keywords and phrases you would like to optimize for. Tip: Do a search on Google for the keywords and phrases. Keep the search keywords specific. Poor Example: "accountant". Good example: "experienced accountant in Durham Region"

13. Will you require Social Media Marketing?

Yes
No

14. When do you require your website to become operational?

Within 1 month Within 3 months Within 6 months Within a year

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