Web Design Request Please take a few moments to fill out the survey below. This way our first conversation can be very informative for the both of us, giving us a jump-start in the development process. Thank you. Contact Info Your Name (required) Your Email (required) Tel# (required) Second Contact Person Optional Name Email Tel# About the Website Company/Professional Name Type of Business Food/BeverageRestaurantCatering/Personal ChefReal Estate / Property ManagementPoliticalSportsEducationRetail/SalesDesign/CreativeMarketingEntertainmentHealth/BeautyConsultingReligiousLifestyleFinancialIndustrialOther This website is... Completely NewRevamp of Current WebsiteUpdate current site with new stuff If this is a revamp or update to a current website, please enter the url here: Website Purpose (Check all that apply) Informational (like a brochure or flyer)Event(s)Creative PortfolioOnline Sales/CatalogueForumSocial/MembershipBlog/News/MagazineOther Your goal is to have visitors to your website...(Check all that apply) Submit info about themselvesHire you to perform a serviceView your work/projects or offeringsBe entertainedConnect with others with similar interestsRegister for an account*Find out more about your companyOrder or download a productPurchase/lease a productCome into your physical locationView catalogueOther Do you have a domain name? YesNo If yes, what is it? Do you have hosting for the website? YesNo If not, you can select a hosting plan here. Website Options: (may incur extra costs) E-commerceOnline formsemail sign-upPicture GalleryVideoEvent CalendarAnalyticsNone Website Content Check the pages you think you'll need: HomeAbout UsServicesContact UsTeam/Board MembersCatalogueFAQOther List the pages you need that are not listed above: Do you or your business have a logo? If yes, you can upload it here File Types accdepted: jpeg, gif, png, jpg and pdf Social Media Are there social media profiles that will be associated with this website? If so, enter the links for them. Additional files can be sent to: firstname.lastname@example.org word documents, addtional images, menus, etc. Budget Under $1000$1001 - $1500$1501 - $2500$2501 - $3500$3501 - $5000Above $5001 Notes: Are you a robot? No? Then please answer the quiz below to prove it: The American flag is red, white and which other color?