PLUS WEB DESIGN QUESTIONNAIRE

About Your Company

Your Name *

Company Name *

Your Email Address *

Current Website Address

Address *

Address

Country

Telephone *

Cell Phone *

Years in Business *

Hours of Operation *

Design Preferences

Company Colors *

Are there any colors / designs you DO NOT want to see in your new website?

Are there any websites that you’ve seen or styles that you’d like to incorporate into your new website? *

Preferred Navigation Style *

Horizontal

Vertical

No Drop Down Menus

Navigation Text - Please tell us what pages/order you would like in your menus *

About Your Current Marketing

This information will help us to cater your new design to your services & your service areas. In addition, connecting your Google account to your new site is crucial! When we finish setting up your website, we will use this login to connect your analytics, webmaster tools, as well as submit a new sitemap to Google.

Google Email Address *

Google Account Password *

How far do you travel? Please list your main service areas. *

Please list ALL the services you offer. *

Information for Your New Website

Please list any Awards/Associations/Links that you would like to include:

How much of the existing content would you like to bring over into the new website? Please be specific about pages you wish to drop/add. *

Do you want us to write your website text for you? *

Yes

We can professionally write optimized, unique content for your site! This service will add an additional payment to your current selection.

Confirm that you DO want to add an additional payment to your plan for professional copywriting: *

I am aware there is an additional payment for Professional Copywriting.

Nevermind, I do NOT want to add copywriting.

Additional Details

Who manages your domain? Please provide the Login Id & password for us to access your hosting account:

Dropbox Info

Please upload a logo file to use:

Maximum upload size: 134.22MB

For files up to 2 MB. If your logo file is larger than 2 MB, please wait and use our project manager or Dropbox to share your logo with us.

Additional Items
If you have before and after photos, pictures of your team on site, photos of your office, photos of your staff, etc., PLEASE use Dropbox to send them to us. Our company dropbox account is info@21stcenturywebdesign.com.

Some Other Items You Might Consider Sending:

Customer Testimonials
Printed Advertising Media (brochures, flyers, etc.)
Page Text (if different from current website text)

Terms & Conditions

By submitting this, you acknowledge that you have read and agree to our TERMS & CONDITIONS. You will receive a copy of our terms and conditions via email upon submitting this form.

WHO WE ARE

21st Century Web Design

Palm Bay, FL 32907

(321) 723-6945
www.21stcenturywebdesign.com
Hours: Monday - Friday 9:00 am - 5:00 pm

$-$$$

PLUS WEB DESIGN QUESTIONNAIRE

About Your Company

Design Preferences

About Your Current Marketing

Information for Your New Website

Additional Details

Terms & Conditions

WHO WE ARE

WHAT WE DO

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