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YOUR INFORMATION

Your Name*

Your Email Address

Your Phone Number

HOSTING & DOMAIN

I require a domain name(s), my primary choices would be:

1.

2.

3.

I currently have a domain name, it is:

If you currently have an active domain name, who is it hosted with:

 I require hosting for my domains
 I would like to switch hosting companies

I will require the following email addresses:

@
@
@
@

CONCEPT

Do you have an existing color scheme?

Do you currently have a logo?

PAGES

which of the following would you like to incorporate into your site

Images:

Functionality

ECOMMERCE

Are you planning on selling items online?

Average cost of each item:

Do you require online Membership and/or Subscription capabilities

Do you require shipping logistics incorporated into your site?

COORDINATING MATERIALS

Do you see yourself requiring Graphic and Design for print and support materials

 Logo Design
 Business Card Design
 Rack Card Design
 Brochure Design
 Banner Design
 Letterhead Design
 Email Design
 Flyers/Posters
 Stickers/Labels
 Magnets/Decals
 Pens, Mugs & Other Promotional Material
 Hats, Tshirts, Jackets & Other Clothing