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Name *

First

Last

Company

Email *

Phone *

Is your domain name registered? *

• Yes
• No

Preferences registered? Info

Registered or Desired Domain Name *

Enter the name you have already registered, or your first choice of URL for your website.

Alternate Domain Names (If the first choice is not available) *

Enter one URL per line

Do you already have a web host? *

• Yes
• No

(Web hosting is the space where your site will live).

What is your budget for this website? *

What is your desired time frame for completion of this website? *

Website Color Preferences *

(Example: "Earth tones, beige and grey accents")

Site Inspirations

Provide up to 3 links to websites that have a style or "feel" that you like.

Page Titles *

List the page titles of your site. (i.e. About, Services, etc.)

Social Media Links

List the social media links you would like to include on your website. (1 per line)

Integrations

• Appointment Scheduling
• Blog Posts
• Calendar
• ECommerce
• Message Boards
• Social Media Feeds
• YouTube Channel

Additional Info

Provide any additional info/guidance that may be helpful in bringing your vision to life!

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