Website Design Questionnaire

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*

Do you have a logo? *

Select the type of website you want to have*

If you want to have an e-Commerce website, how many items you are planning to sell/list on your website?

Do you have a PayPal account? *

Select a main color tone for your website*

Do you have any pictures to put on your website? *

Select a Web Design Package*
(* Web Design Fee will be waived during special promotion period)

Select a Web Hosting Package*

Select the pages or features you want to have on your website *
(Use "Ctrl + Click" to select all applicable choices)

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)

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? *

Type the characters (case sensitive) you see in the picture:

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