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Online Design Request Form
Please fill the form carefully
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Step 4
Project Details
*
Full Name:
*
First Name
*
Last Name
This field is required.Please enter value
This field is required.Please enter value
*
Company Name:
This field is required.Please enter value
*
Email id:
This field is required.Please enter value
Please enter valid email address
Mobile No:
This field is required.Please enter value
Invalid phone number.
The value must be less than or equal to 20
What is this website for:
This field is required.Please enter value
Next
What is your current or intended website address (www.newwebsite.com):
This field is required.Please enter value
How soon do you need the new website completed:
This field is required.Please enter value
Date format is invalid, please check it again
The value must be greater than or equal to -21474836487
The value must be less than or equal to 2147483647
How many pages/sections will your website have:
This field is required.Please enter value
Do you already have a logo:
Yes
No/I don't need one
No/I would like one created
This field is required.Please enter value
Do you need a separate email:
Yes
No
This field is required.Please enter value
If yes,please specify:
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The value allows only numbers
Invalid number!
The value must be greater than or equal to -21474836487
The value must be less than or equal to 2147483647
Current Website
Do you currently have a website:
Yes
No
This field is required.Please enter value
If yes,please specify:
This field is required.Please enter value
Will the existing website content be used:
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The importance of the first impression is paramount. How should visitors describe your new site (Examples: modern, user friendly, bold, corporate, fun, forward thinking, innovative, bright, calming, elegant, clean, minimal, etc.):
This field is required.Please enter value
Who is your target audience (Examples: age, industry, gender, income, geographical area, etc):
This field is required.Please enter value
Do you have images that best reflect your business (Examples: business images, product images, industry, nature, etc):
This field is required.Please enter value
Are there any particular websites that you like. Why (Examples: page elements like headers, menus, sidebars, colors, typography, photos, etc.):
This field is required.Please enter value
Additional comments:
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Signature:
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please enter security code.
please enter valid security code.
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