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Your full name |
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Your email address |
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Confirm your email address |
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Your home phone number in case we need
to speak with you
example: 123-456-7890 |
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Other phone number, just in case we need
to reach you
example: 123-456-7890: |
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Do you have a website already? |
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If so, what is the URL (name: www.myname.com) of your
website? |
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Are you happy with this web site?
Why or why not? |
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What is the subject of your website? |
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Who is your target audience? |
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What is the purpose and goal of your
site? |
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What is your idea of a good website for
your purpose? |
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Have you seen a website that impressed
you?
What's the URL / web address? |
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What impressed you about that site? |
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Do you have a domain name already?
(i.e.
YourName.com) |
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If so, what is the domain name (URL) of your
site? |
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If not, what would you like to name your
website?
(list up to 6 options, on separate
lines ) |
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How soon do you want to have your
website on the internet? |
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Your total budget for this project? |
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$
U.S. Dollars |
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How will you pay for your web site? |
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Total number of pages you think you'll
need,
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(In addition to your main/index/home
page?)
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What are the other page names for your
website?
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(Please double space after
each page name)
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Your agreement to the
Contract Terms, Pricing, and other Terms
and Conditions as outlined on this web
site.
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