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Please fill out the following form to help us develop your website as quickly as possible.
Your Name *
Your Email *
Your Phone Number:
Your Company Name *
Services/Products * (List the name, functions and any information related to your services/products)
Your Target Customers * (Who do you sell your services/products to?)
Domain Name* (Enter N/A if you don't have a domain name yet)
Hosting Company* ---I don't have a hosting company yet.I want to have a hosting plan with you.I will host my website with another company.
Do you have a logo? * ---Yes. I have a logo already.I'm working on it.No. I don't' have it yet
Select the type of website you want to have* ---Brochure Style website to showcase my services/productsE-Commerce Styles website to sell my services/products.
If you want to have an e-Commerce website, how many items you are planning to sell/list on your website? ---Less than 10Between 10 and 25Between 25 and 50More than 50
Do you have a PayPal account? * ---Yes, I have a PayPal accountNo, I don't have a PayPal account
Select a main color tone for your website* ---RedPurpleGreenBlueYellowOrangeGreyBlackWhite
Do you have any pictures to put on your website? * ---No, I do not have any pictures to put on my websiteYes, I have a few (less than 5) pictures to put on my websiteYes, I have some (less than 10) pictures to put on my website.Yes, I have many pictures to put on my website (between 10 and 20)Yes, I have more than 20 pictures to put on my website.
Select a Web Design Package* (* Web Design Fee will be waived during special promotion period) ---Beginner Website Design ($499) up to 5 pagesBasic Website Design ($699) up to 10 pagesStandard Website Design ($899) up to 25 pages with blogPremium Website Design ($1099) up to 35 pages with blogE-commerce Website Design (starts from $1899) with shoppingcart
Select a Web Hosting Package* ---Beginner Hosting ($300 per year) up to 5 pagesBasic Hosting ($360 per year) up to 10 pagesStandard Hosting with blog ($420 per year) up to 25 pagesPremium Hosting with blog ($480 per year) up to 35 pagese-commerce Web Design - Beginner ($600/year)e-commerce Web Design - Basic ($660/year)e-commerce Web Design - Standard ($720/year)e-commerce Web Design - Premium ($780/year)
Select the pages or features you want to have on your website * (Use "Ctrl + Click" to select all applicable choices) ---HomeAboutServices / ProductsHow it Works. FAQNews / Article / BlogPhoto GalleryResources / LinksTestimonials / Client ListContact UsPayPal PayNow ButtonOthers (Please specify in additional message area)
Home Page Content * (Enter any content you want to be on this specific page)
About Page Content * (Enter any content you want to be on this specific page)
Service/Products Page Content * (Enter any content you want to be on this specific page)
Contact Us Page Content * (Enter any content you want to be on this specific page)
Other Pages Content (Please name the pages and provide the content you want to be on these pages)
Additional Message
Upload any files (such as logo, images, marketing materials or catalogs, etc.) that might be helpful for your website design
How did you know about Internet marketing Smarts? * ---GoogleYahooBingOther websiteAdvertisementWord of MouthMarketing campaignOthers
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