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First Name
Last Name
Company name
Email
Contact number
Please give us an overview of your company
What sort of website are you looking for?
Ecommerce (Sell products through the website)
Brochure (Information-based website)
Do you currently have a website?
Yes
No
Describe the style of website you are looking for
Who is your target audience?
Do you have an idea on how many and what pages you want included on your website?
Have you purchased the domain name for your new website?
Yes
No
What time frame are you working to for the new website?
2 - 4 weeks
4 - 6 weeks
6 - 8 weeks
More than 8 weeks
Will you write your own content for the website or are you also looking for a quote for the content to be written for you?
We will write and provide the content
I would like a quote on you writing the content for us
How did you hear about us?
Google
Social media
Referral
Other
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