Website Request Form Website Package * Basic Intermediate Premier Full Name * First Name Last Name Business Name (If Applicable) Email * Phone * (###) ### #### Preferred Contact Method * Call Email Text Type of Website * Business Personal/Portfolio Event/Special Other Do You Have a Website Domain * Yes No I Need Help Purchasing One What Do You Want The Website To Do (Select All That Apply) * Help Customers Find My Business Or Contact Me Display My Services Or Products Show Off A Portfolio Or Past Work Share Updates Or Blog Posts Collect Leads Or Inquiries Provide Downloadable Files (Menus, Brochures, Etc.) Link To My Social Media Accounts Other: Preferred Website Builder * Squarespace Wix Wordpress Write Out What You Would Like Page to Be About * Example: 1. I would like a home page that allows visitors to get a brief overview of our business. 2. I would like to have a news page that gives updates on what events are going on in the area. Notice on Third-Party Costs: The prices listed below reflect the cost of our labor, design, setup, and integration services only. Clients are responsible for all third-party platform fees, including but not limited to: Domain name registration (e.g., GoDaddy, Namecheap) Website builders (e.g., Squarespace, Wix, WordPress subscriptions) Any premium plugins, themes, or add-ons requested We do not purchase or pay for these services on a client’s behalf under any circumstance. We’re happy to guide you through selecting the best options and setting them up properly, but the costs of those services will be paid directly by you to the provider. * I Understand Thank you for filling out the form! You will receive a message from us on your requested form of contact. There we will discuss more details and any questions. We look forward to working with you!
