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Name of Person Filling Out This Form
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First
Last
Name of Person who will be Point of Contact For This Website Design
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First
Last
Email of Person who will be Point of Contact Regarding This Website Design
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Phone Number of Person who will be Point of Contact Regarding This Website Design
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Do you already have a website URL (.com ; .net ; .org or etc.) for the website you'd like to create?
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Yes
No
Website URL (.com ; .net ; .org or etc.) to be Built Upon:
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Name of Company, Organization, or Topic this Website is Focused On
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Please Describe Company, Organization, or Topic this Website is Focused On
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Example #1: Please add the URL (.com) of a website that has design elements that you like or would like to achieve
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Please Describe What Aspects/Elements of this website that you like
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Example #2: Please add the URL (.com) of a website that has design elements that you like or would like to achieve
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Please Describe What Aspects/Elements of this website that you like
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Example #3: Please add the URL (.com) of a website that has design elements that you like or would like to achieve
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Please Describe What Aspects/Elements of this website that you like
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If you have any images related to the design, you'd like to achieve please add here:
Is there a color scheme or specific colors you'd like to include in the design? Please describe.
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Do you have logo associated with this website? If yes, please add here:
"Home" Page
"Home" Page: Please add any information/content you would like to be added to the your Website "Home" Page
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If you have any images related to the "Home" Page, you'd like to include please add here:
If you have any images related to the "Home" Page, you'd like to include please add here:
If you have any images related to the "Home" Page, you'd like to include please add here:
If you have any images related to the "Home" Page, you'd like to include please add here:
If you have any images related to the "Home" Page, you'd like to include please add here:
"Services" Page
"Services" Page: Please add any information/content you would like to be added to the your Website "Services" Page
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If you have any images related to the "Services" Page, you'd like to include please add here:
If you have any images related to the "Services" Page, you'd like to include please add here:
If you have any images related to the "Services" Page, you'd like to include please add here:
If you have any images related to the "Services" Page, you'd like to include please add here:
If you have any images related to the "Services" Page, you'd like to include please add here:
"About Us" Page
"About Us" Page: Please add any information/content you would like to be added to the your Website "About Us" Page
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If you have any images related to the "About Us" Page, you'd like to include please add here:
If you have any images related to the "About Us" Page, you'd like to include please add here:
If you have any images related to the "About Us" Page, you'd like to include please add here:
If you have any images related to the "About Us" Page, you'd like to include please add here:
"Contact Us" Page
"Contact Us" Page: Please add any information/content you would like to be added to the your Website "Contact Us" Page
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If you have any images related to the "Contact Us" Page, you'd like to include please add here:
If you have any images related to the "Contact Us" Page, you'd like to include please add here:
If you have any images related to the "Contact Us" Page, you'd like to include please add here:
If you have any images related to the "Contact Us" Page, you'd like to include please add here:
Additional Information
Please Add Any Additional Information Related To This Website Below:
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