Website Build Intake Form

Company Name

Company Slogan / Tagline(if applicable)

Company Industrye.g. Services, eCommerce, etc.

Services Offered0 / 250

Company Color Scheme

Domain(s) Purchased for Website0 / 250

Do you already have web hosting?

Total number of pages desired on websiteincluding Home, Contact, and Service pages

Main Goals / Objectives of Website0 / 250

List any social media pages for the company0 / 250

Date of Completion Desired for Web Launch

Company Logo file upload

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Contact Name

Contact Email

Contact Phone

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