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Name*

E-mail*

Phone Number

Do you currently have a website? If so, what's the address? (If not, leave blank).

Website Link

Do you have a domain name registered?

Do you have hosting?

Do you currently have a logo? If so, please attach it.

Max. file size: 3 GB.

Accepted file types: pdf, doc, docx, jpg, gif, png, txt, rtf.

If you do not have a logo, please enter the details below and I will be glad to include it in the project.

What is the website's main purpose?

What is the desired outcome from a visitor arriving at the website?

Do you want any of the following? (There is space at the end of the form for other requirements).

What is the website's target audience? Age group, gender, profession, etc.

How many pages will the website have?

When would you like the website completed?

Further comments:

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