1. Contact Info

Full Name

Email *

Phone *

Address

Street Address

City

State

Country

Postal Code

2. Business Details

Complete Business Address

Competitor URLs

Professional Affiliations

3. Website Look/Feel

What do you want your site to look like? Websites you like the look/feel of does great! Give lots of detail.

What is the color palette of your website? Include exact color codes.

Attach logos, images, and other graphics to be used

File Upload 5zzz

Maximum 5 files, 10MB each

File Upload 9ozd

Maximum 5 files, 10MB each

File Upload 11zjv

Maximum 5 files, 10MB each

4. Domain Name/Hosting

You receive a FREE domain name. What would be the name of your ideal website?

Additional Details

Ideal Domain Name

*I will reach out to you if we cannot secure your ideal domain name.

5. LOGO

You will receive a free logo with your website design package. Please provide your preferred color palette and sample logos that reflect your website's vibe.

File Upload For Sample Logo

5. Media

Do you have videos to be used on your website?

Yes

File Upload 13nl1

LinkedIn URL

Facebook URL

Youtube URL

TICTOK

Pinterest URL

X URL

6. Technical Details

Do you currently have a website?

Are you currently using web hosting?

If you currently have hosting and intend to maintain existing hosting, please provide username and password so I can update DNS records.

User Name:

Password:

7. Marketing

Are you doing any marketing?

Are you using email marketing?

Are you actively marketing on Social Media?