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The Genius Guarantee
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Testimonials
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Contact Us
Gift Shop
Cart
New Website Info Form
Thank you for the opportunity to work with you on your new website! Filling out and submitting this form will allow us to provide you with an accurate Proposal and provide useful suggestions.
Please enable JavaScript in your browser to complete this form.
Customer Name
*
First
Last
Business Name
Email
*
Phone Number
*
How do you prefer to be contacted?
*
Phone
Email
Do you have an existing website or are you starting from scratch? If existing, please provide URL
*
Do you need help with set-up of any or all of the following?
Website Domain
Website Hosting
Email Plan Set-Up
Will you be selling any products or services on your website?
*
Yes
No
Do you already have a payment processor set up?
*
Yes
No
If yes, which one? (PayPal, Stripe, etc)
Please list all Pages that you know you would like included in your Website's Navigation Menu:
Please list any special functions or design elements that you're interested in seeing on your website:
What goals would you like to accomplish with this project?
Who is the target audience for your website?
What is your desired timeframe for this project?
*
Urgent: Need it done yesterday!
Moderate: 2-4 weeks will work.
Relaxed: Currently in the planning stages.
Are you interested in on-going maintenance and tech support for your new website?
*
Any other thoughts or ideas you'd like to share?
What type of budget do you have planned for this project?
Comment
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