Welcome to Web Design Services Order Form

*Please answer the question with as much description as possible.

Full Name: 
Email: 
What type of business or organization are you trying to promote?
Yes No
Do you have a Web hosting service?
Yes No
Do you have a Web domain name reserved?
Yes No
Do you have a logo?
Yes No
If not, will you need us to design one?
Yes No
Will your customers be ordering products online?
Yes No
Will you provide the text for your Web site?
Yes No
Will you need full-motion video on your Web site?
What is the purpose or goal of your Web site?
  • Promote products?
  • Sell Products?  
  • Create customer awareness?
  • Foster customer service?
  • Gather customer feedback?
  • Distribute company information via an internal Web site?
How many sections will your Web site need?
Any Additional Information?
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