Client Information

• Company or Organization
• Contact Name *
• Email *
• Phone

 

Domain Information

• Do you have an existing domain name?
  YesNo
• Existing Domain
• Desired Domain
  one per line
• Where is it registered? GoDaddy, Network Solutions, etc...

 

Hosting Information

• Name of current hosting provider?
• Hosting Credentials Note: Our team will need hosting account access, including mysql and FTP. Please send in a separate message.
• Would you like us to help you identify a new hosting provider?
  YesNo

 

Email Information

• Where is your email currently hosted?
  Internal serverSame as site hosting Other
• How do you access email?
  Exchange ServerPOP3IMAPWeb AccessNot sure Other

 

Site Functions

• Do you need any password protected areas?
  YesNo
• Do you need the website to tie into any particular 3rd party applications?
  YesNo
• What email address should the contact form be sent to?
• Do you have an online newsletter?
  YesNo
• Which one? Constant Contact, Mail Chimp, etc...
• Do you have a blog?
  YesNo
• What is the url of your blog?
• Would you like a blog in your site?
  YesNo

 

Site Design

• Please list URLs of sites you like the design
  One per line
• Please list the URLs of your major competitors
  One per line
• How do/will most your visitors be accessing the site?
  DesktopTabletSmartphoneNot sureAll of the above Other
• Do you have an existing color palette?
  YesNo
• Other Design Specifications
• File Upload Share screenshots, logo or other art here

 

Ecommerce

• Ecommerce Sites Only If the site will be selling a product or service that includes online checkout or a shopping cart please fill in this section.
• Do you have an SSL certificate?
  YesNoNot sure
• Do you have an Authorize.net account?
  YesNoNot Sure
• Do you have a PayPal acocunt?
  YesNoNot Sure
• Do you use any other payment gateways? if so, list them here

 

Notes

• Other Notes
  Anything else we should know?
• Confirm *
  Hi, we are in compliance with GDRP and want you to have a great experience, so please confirm you agree with the storage and handling of your data by this website.

 

Verification

• Please enter any two digits with no spaces (Example: 12) *
• This box is for spam protection - please leave it blank