Proposal Request - Web Design
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website design
YOUR INFO:
First Name
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Last Name
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Email
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Phone
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what is your contact preference?
Phone
Email
BUSINESS INFO:
Business Name
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Are you representing a Company? Complete this field with your Company Name. Or, if you are doing business as an Individual, then leave this field blank.
City
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State
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Website URL
Business Size (# of Employees)
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Make a selection
1 - 5
6-10
11-19
20+
Industry
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Make a selection
Automotive
Computer & Technology
Construction
Education
Entertainment
Finance
Food & Beverage
Health & Wellness
Home Services
Hospitality
Legal
Other
Does Your Business Have A Physical Location?
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Make a selection
No
Yes (1-2 Locations)
Yes (3-4 Locations)
Yes (5+ Locations)
Do You Provide Services or Products to California?
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Yes
No
Do You Provide Services To Anyone in Europe (EU)?
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Yes
No
WEBSITE:
When do you need a website by (MM/DD/YY)?
What features/abilities would you like your website to have?
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Blog
Appointment Scheduling
Event RSVP/Booking
Payment Processing
Online Store
Membership Portal
Integration with an external software (i.e. CRM, IDX)
Email Marketing Integration (i.e. Newsletter Sign-Up)
Other
What type of website design are you interested in?
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1-PAGE WEBSITE (Starting at $795)
BASIC WEBSITE (Starting at $2450)
CUSTOM WEBSITE (Starting at $6275)
Unknown
What is your budget?
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Less than $2,500
$2,500 - $5,000
$5,000 - $7,500
$7,500 - $10k
$10k +
Unknown
what other website feature/ability are you interested in?
OTHER:
Do you need a Customer Relationship Management (CRM) system?
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Yes
No
Do you need professional email?
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Make a selection
No
Yes (1-4 Inboxes)
Yes (5-9 Inboxes)
Yes (10 or more Inboxes)
How Did You Find Our Agency?
Make a selection
Word of Mouth
Google
Facebook
Instagram
Referral
Other
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