Web Design Information Name* First Last Email* Phone*Who are you? Existing Customer New Customer Partner Website Status (current website situation) I do not have a website I have a WordPress.com website. I have a WordPress website. I have a website but it is not WordPress or don't know what kind it is. Your Content Status (please check all that apply) I have a logo and/or a color scheme. I have written content. I have photography. I have registered a domain name. none Web Design (amount of content you have to work with) have less than 3 pages have 3 to 10 pages have 10 to 20 pages have more than 20 pages Your website sells*Determines the type of hosting and support you will need services products memberships (organization) Preferred Payment Options* One time set up cost with lower monthly costs. Lower set up cost with higher monthly costs. Pay As I Go Monthly Do you have a payment gateway?*Are you processing payments online through your website? Yes No Will you be accepting payments online?*Determines additional license fees you may incur Yes No Customer Packages*Do you have list of predefined products or service options that your customer will choose from? Yes No Who will perform edits to your website?*Determines the type of maintenance plan you need I want to do it all myself I want a few changes per year I want to produce content on a regular basis Other Services Interested in: IT Services (domains, email, and WIFI) Social Media (Facebook and Instagram) Marketing Strategy (Go to Market) Video Services (Consultation and Editing) Application Development (Mobile or Web) Please rate your experience with websites? Poor - I don't understand technology or my last web designer did a bad job. Good - I don't understand technology but trust those who do. Great - I understand technology and I am looking to partner with someone who can help. none - I have never had a website. How many years have you been in business?How did you hear about us?Search EngineReferralWordCampSocial MediaYoutubeYour Website AddressReferral's Full NameYou will be redirected to a bundle of products that includes the name, description, and investment schedule.CommentsThis field is for validation purposes and should be left unchanged.