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  Personal Information

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Your Name*
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Enter E-mail Address*
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Enter Phone*
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  About The Company

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Company Name*
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Current Website
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Company tagline or motto*
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Do you have a logo and/or indentity guidelines?
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  Yes No, but we’d like you to design them   No
A short description of your company, and where you see it going in the future.*
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A short description of how you want to stand a part from your competitors*
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  About the Project

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Project Name*
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Project Deadline*
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Blog Integration?
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  Yes No   Maybe, tell me more
Shopping Cart Integration?
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  Yes No   Maybe, tell me more
Forum Integration?
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  Yes No   Maybe, tell me more
E-commerce Store Integration?
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  Yes No   Maybe, tell me more
Google Maps Integration?
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  Yes No   Maybe, tell me more
Contact Form Integration?
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  Yes No   Maybe, tell me more
Testimonials Integration?
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  Yes No   Maybe, tell me more
FAQ Manager Integration?
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  Yes No   Maybe, tell me more
File (Download) Manager Integration?
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  Yes No   Maybe, tell me more
Search Bar Integration?
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  Yes No   Maybe, tell me more
Image Gallery Integration?
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  Yes No   Maybe, tell me more
Calendar of Events Integration?
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  Yes No   Maybe, tell me more
Newsletter Integration?
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  Yes No   Maybe, tell me more
Domain Name Integration?
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  Yes No   Maybe, tell me more
Email Addresses Integration?
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  Yes No   Maybe, tell me more
Audience Demographics
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A concise description of what  you expect from this project.
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  About the Design

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Color Preferences*
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Placement of Main Navigation
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Number of Columns
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Sites that have styles/colors you like, be as descrip­tive as you need to be*
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    Anything else you would like to add




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