Brand New Site?
Yes
No
Website Set Up (includes up to 4 pages):
$
Website - Additional Pages:
$
Other:
$
Total set-up fees:
$
Initial Deposit Includes:
Website Set Up (includes 4 pages) ~ $297+GST ($311.85)
Website - 1 additional page ~ $99+GST ($103.95)
Website - 2 additional pages ~ $198+GST ($207.90)
Website - 3 additional pages ~ $297+GST ($311.85)
Website - 4 additional pages ~ $396+GST ($415.80)
Initial Deposit Includes (other):
Payment Frequency & Amount:
Monthly or Annual
Monthly Subscription ~ $39.97+GST ($41.97)
Annual Subscription ~ $479.64+GST ($503.62)
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Payment Frequency (Other):
Pricing Details:
Website Domain Name (Do not add www.)
Business Name:
Customer Email Address.:
*
First Name
Last Name
Business Billing Address:
Â
City
Province:
Postal code
Business Phone Number:
*
Email to use on the website:
Website Registrar:
Set Up or Existing
Set Up
Existing
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Registrar Details:
Hosting Email Setup:
Remote or Local
Remote
Local
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Email Notes:
Decision Maker's Name & Phone Number (if not the owner)
Business Owner Cell Number:
Business Slogan / Tagline:
Business Fax Number:
Business Address and/or Service Area to be added to the website:
Hours of Operation:
Payment Method Notes:
Products / Services Offered:
Examples of Websites You Like:
Google My Business Embed Code:
Pages to be created:
Home
Services
About Us
Contact
Gallery
Blog
Other Pages to be Created:
Links to Social Media:
Sales Person's Name
How did you hear about our web design services?
Comments or Other Details:
Link to view website (Only if brand new domain and you know what the domain is.):
Content:
Logo Details:
What year was the company started?
How long have you been in the industry?_Years
Is this company locally owned and operated?
Yes
No
Is this a family run business?
Yes
No
Any licenses or certifications?
Reason for starting the business if any:
What makes you special in terms of products/services, or how you differentiate yourselves from the competition?
A little about the owner :
Will the customer be sending any other content?
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