Web Developement Information Form
Industry
*
Please select the industry your business belongs to.
Select an option
Education
Advertising and Public Relations
Finance
E-commerce
Information Technology
Media and Entertainment
Healthcare
Others
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Main Competitors
*
List your main competitors and include their website URLs if available.
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What sets your business apart?
Explain what differentiates your business from the competition.
Brand Name
*
Enter your brand name.
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Brand Logo Upload
Upload your brand logo file.
Click to upload or drag and drop
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Website URL
Where can we find your website, if you have one?
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Business Email Setup
Check if you have set up your business email. If yes, provide your desired email address.
Brand Mission
*
Share your brand mission statement.
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Desired Business Email
Enter the desired business email address. Example: name@mybusiness.com
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Selling on Website?
*
Are you selling on your website? If yes, specify the payment integrations.
Yes
No
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Payment Integration
If you have selected yes, please specify the payment integration you plan to use.
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Website Pages Planned
*
List the pages you plan to include on your website.
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Color Theme
*
What color theme represents your brand?
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Brand Font
Specify the font that represents your brand.
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Website Timezone City
*
Choose the city representing your website’s timezone.
Select an option
UTC−12:00: Baker Island and Howland Island, United States
UTC−11:00: American Samoa, Jarvis Island, Kingman Reef, Midway Atoll, and Palmyra Atoll, United States
UTC−10:00: Honolulu (Hawaii), United States; Society Islands, French Polynesia
UTC−09:30: Marquesas Islands, French Polynesia
UTC−09:00: Anchorage (Alaska), United States; Gambier Islands, French Polynesia
UTC−08:00: Los Angeles (California), United States; Pitcairn Islands, UK; Tungsten, Canada
UTC−07:00: Denver (Colorado), United States; Mountain regions in Canada; Chihuahua, Mexico
UTC−06:00: Chicago (Illinois), United States; Central Zone of Mexico; Galapagos Islands, Ecuador
UTC−05:00: New York (New York), United States; Bogotá, Colombia; Kingston, Jamaica
UTC−04:30: Caracas, Venezuela
UTC−04:00: San Juan, Puerto Rico, United States; Guadeloupe, French territories
UTC−03:30: Saint John's, Newfoundland, Canada
UTC−03:00: Buenos Aires, Argentina; French Guiana; Rothera Station, Antarctica
UTC−02:00: Fernando de Noronha, Brazil; South Georgia and South Sandwich Islands, UK
UTC−01:00: Azores, Portugal; Ittoqqortoormiit, Greenland
UTC+00:00: London, UK; Reykjavik, Iceland; Accra, Ghana
UTC+01:00: Paris, France; Berlin, Germany; Kinshasa, Democratic Republic of the Congo
UTC+02:00: Cairo, Egypt; Cape Town, South Africa; Troll Station, Antarctica
UTC+03:00: Moscow, Russia; Djibouti, Djibouti; Riyadh, Saudi Arabia
UTC+03:30: Tehran, Iran
UTC+04:00: Dubai, UAE; Baku, Azerbaijan; Réunion, French territories
UTC+04:30: Kabul, Afghanistan
UTC+05:00: Karachi, Pakistan; Yekaterinburg, Russia; Maldives
UTC+05:30: Delhi, India; Colombo, Sri Lanka
UTC+05:45: Kathmandu, Nepal
UTC+06:00: Dhaka, Bangladesh; Almaty, Kazakhstan; Mawson Station, Antarctica
UTC+06:30: Yangon, Myanmar
UTC+07:00: Jakarta, Indonesia; Bangkok, Thailand; Kemerovo, Russia
UTC+08:00: Beijing, China; Singapore, Singapore; Perth, Australia
UTC+08:45: Eucla, Western Australia
UTC+09:00: Tokyo, Japan; Pyongyang, North Korea; Yakutsk, Russia
UTC+09:30: Adelaide, Australia
UTC+10:00: Sydney, Australia; Vladivostok, Russia; Guam, United States
UTC+10:30: Lord Howe Island, Australia
UTC+11:00: Nouméa, New Caledonia, French territories; Solomon Islands
UTC+12:00: Auckland, New Zealand; Fiji; Gilbert Islands, Kiribati
UTC+12:45: Chatham Islands, New Zealand
UTC+13:00: Nuku'alofa, Tonga; Tokelau, New Zealand territories; Phoenix Islands, Kiribati
UTC+14:00: Line Islands, Kiribati
This field is required.
Project Budget
*
Select your budget for this project.
$50 or less
$50 – $200
$200 – $400
$400 – $800
$800 – $1500
$1500 or more
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Interested Services
*
Select the services you are interested in.
Brand Design
Web Design
Social Media Marketing
Automation
SEO Optimization
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Project Deadline
*
Do you have a deadline in mind for this project?
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Additional Information
Is there anything else you’d like to add? Please share any additional functionality for your website.
Your Full Name
*
Please enter your full name.
This field is required.
Preferred Name
What would you like me to call you?
This field is required.
Email Address
*
What’s the best email address to reach you?
This field is required.
Confirm Email Address
*
This field is required.
Phone Number
*
Please enter your phone number including area code.
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Submit
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