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Client Request Form
Site Type
*
Custom Quote
Basic Pack - 5 Pages
Premium Pack - 15 Pages
Enterprise Site
Requested Start Date:
*
Custom Domain (URL):
*
Account Name [For Office Use Only]:
*
Business / Contact Information
Point of Contact:
*
Business Name:
*
Business Address:
*
City/State/Zip:
*
Business Phone:
*
Alternate Phone
*
Toll Free Phone
*
Email Address
*
Business Hours
*
Payment Types
*
PayPal
Credit Card
Debit
Social Media Link(s)
LinkedIn:
*
Insert link to your business' LinkedIn page:
Facebook:
*
Insert link to your business' Facebook page:
Twitter:
*
Insert link to your business' Twitter page:
Other(s):
*
Insert link to your business' social media page:
Notes to Designer:
*
Layout/Navigation
Splash Page/Intro Page Instructions:
Name of Pages 1-5 (Basic Site)
*
Example: (P1 About Us) (P2 Services) (P3 Products) (P4 Gallery) (P5 Location)
Name of Pages 6-15 (Premium Site)
*
Example: (P6 Contact Us) (P7 FAQ) (P8 Testimonials) (P9 Links) (P10 Coupons)
Content References
Color Scheme:
*
(Choose up to 4 colors, list main color first or enter Designer Discretion)
Reference Websites:
*
(List the link(s)to the website(s) you would like to reference on your site)
Slogan:
*
Logo:
*
(Options: Submitted, Professional Logo, Requested, or Generic)
Call To Action Instructions:
*
1st Page/Website Home Content
Instructions:
Complete the forms below for each page of your site. Please be sure to input page content exactly as it should be viewed on page. This information will be copy & pasted into your site. (Bullets, quotes, etc may be included.)
Landing Page:
Up to 75 words per site; Up to 3 images per page
Basic Sites:
350 words Per Site; Up to 3 images per page; Gallery up to 20 images
Plus sites:
Average 100 words per page; Up to 6 images per page; Gallery up to 50 images
Page Title (Up to 10 Words):
*
Suggestions: Business Name, City & State, Slogan, Page Name
Keywords:
*
Up to 10 key words or phrases that describe your business in general on this page... Choose Words you would use to search for your site on the internet
Description:
*
One sentence description of you business or this page
Special Instructions Specific to this Page:
*
Page Name:
*
Images:
*
Indicate stock images or which images provided should be used on this page
Page One Content:
*
2nd Page Content
Page Type:
*
About Us
Services
Gallery
Location (With Map)
FAQ
More
*
Contact Us
Testimonials
Links
Products
Other
If you selected "other" please clarify what type of page you choose
Other:
*
If you chose your page type as other please specify the page type you would prefer
Page Title (Up to 10 Words):
*
Suggestions: Business Name, City & State, Slogan or Page Name
Keywords:
*
Up to 10 key words or phrases that describe your business in general or this page... Choose words you would use to search for your site on the internet
Description:
*
One sentence description of your business or this page
Special Instructions Specific to this Page:
*
Page Name:
*
Images:
*
Indicate stock images or which images provided should be used on this page
Page Two Content:
*
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