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Build Your Own Website

Website Order Form

Client Details
Company Name
Contact Name*
Mobile
Email Address*
State
Website Type*
Website Details
Website URL
Tag Line / Slogan
About Your Company
What type of services do you provide?
Who are your targetted audience?
What type of overall feel would you prefer your website to have? (i.e. corporate, contemporary, conservative, warm, serious, classy, polished, flashy, high-tech, artsy, fun, abstract, etc.)
Please list at least 3 high quality model websites that you like the look of.
Please provide 2-3 competitor websites (if any)
List the navigation links for your Site or email a word document with the links listed out.
Colors Preferred or company branding color scheme
Photos/Images: Will you be sending us images to use on your site or would you like us to use our own images? Give the type of pictures you would like us to select and use. Yes   No

Type Of Picture  
Additional Comments, Preference or Specific ideas

Register dOMAIN

only at
RS
499/Year