WEBSITE DESIGN REQUEST FORM

General Info

New CustomerCurrent Customer

Full Name:

Phone Number:

Address:

Company:

Tell us briefly about your business:

Who is your target audience?

Development Website Info

Domain info

(Domain, username, password - if available)

Hosting info

(Username, password - if available )

What is the main purpose of your website?

( Examples for information only, to market your business, to sale products, have any special functions...)

Do you have preferred company color?

Do you have sample websites that you like?

What are the most important features for your site?

Multi-language support
Shopping cart
Online chat feature

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Additional comments

Deadline

Please upload any available log, design, sample files