| First Name * |
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| Last Name * |
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| Phone *(including area code) |
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| Email * |
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| Company Name |
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| Current Website Address(optional) |
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Website Goals
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Provide current or potential customers with information. |
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Generate new leads. |
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Sell products. |
| Any additional thoughts on your website goals. |
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Website and Domain Name
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| Your Website Title/Name: |
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| Have you registered your domain name already? |
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| If no, what is your preferred domain name? |
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| Additional comments about your website and domain names. |
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Your Website Assets
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| If applicable, please select the graphics and media you already have available. |
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Typeface preference |
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Preferred Colours |
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Website Structure
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| Please use the above example of a website structure to decide how you will categorise your website information. Once you have decided, you may complete the form below. |
| Total Main Menu Pages |
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| Total Sub Menu Pages |
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| Total Sub Sub Menu Pages |
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| Total Sub Sub Sub Menu Pages |
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Website Options and Functions
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| Please select any additional functionality your website will require |
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| Please provide any additional function requests you think may be necessary to your website design requirements: |
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Website Hosting
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Check this box if you already have web hosting |
| If you don’t have web hosting already, please select your preferred web hosting package:
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| Note that many of the additional website options and functions require Business, Premium or Mission Critical Hosting. As a general rule, if your website has a form, blog, e-commerce or gallery, you will not be able to choose Ecomony Hosting. |
Website Design
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| Please provide the URL to 3 websites (if possible) that you feel adequately fulfills your own website goals and comment on each according to features you do and don’t like. |
| Website URL 1 |
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| Comments |
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| Website URL 2 |
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| Comments |
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| Website URL 3 |
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| Comments |
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| If you are happy with the information you have provided, please click submit. |
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