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Full Name
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Email
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Phone Number
Do you already own a domain name?
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Do you already have a hosting provider?
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What services are you wanting us to provide?
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Hosting
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Content Management
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How many pages do you anticipate your website having?
1 - 5
5 - 10
10 - 20
20+
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How many images to do you anticipate your website having?
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More Than 10
Less Than 20
More Than 20
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Do you anticipate putting any videos in your website?
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Not Sure Yet
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Brief description of what the website or service will be for.
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What is your budget?
$100.00 - $200.00
$200.00 - $400.00
$400.00 - $600.00
$600.00 - $1000.00
$1000 +
$2000 +
How soon would you like to get your website live?
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