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*First Name

*Last Name

Company/Organization

*Phone Number

*Email Address

*Confirm Email Address

Do you currently have a website? If yes, what is the url?

Do you currently have a domain name and hosting plan in place?

What are your primary goals for this website?

What type of functionality would you like to see? (For example: blog, event calendar, directory, catalogue, photo gallery, videos, online store, polls and surveys, conditional logic forms, etc.)

What call-to-actions should be included on the site? (For example: subscribe, contact, join, donate, purchase, register, etc.)

How many pages do you foresee in the initial development?

Will you provide your own photos and content for the website or do you need assistance with writing, editing or the acquisition of photography?

Is there a date by which the project should be completed?

Do you have a fixed budget limit?

Will you, or one of your staff, want to edit pages or manage the site? If so, what is your technical skill level? (none, basic, advanced)

Please provide any additional information that will help us in creating a proposal.