Completely Free Custom Design Form

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What is most important to your firm?
- Better Design
- New Cases Generated From The Website
- Lower Costs
- Better Customer Service From Website Provider
- Need Help Building Brand New Site
- Other
If Other, please specify

Identity

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Full Name*
Business Name
Email*
Email (2)
Contact Name
Alt Contact
Business Phone (1)*
Business Phone (2)
What is most important to you regarding the website?

Industry

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Describe your company in one sentence.
Company Slogan?

Style / Design
Critical step: Please list up to 3 of your favorite websites and why you like them.

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Website Address One
Positive Attributes
Website Address Two
Positive Attributes
Website Address Three
Positive Attributes

Search Engine Optimization

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How important is high ranking on Google, Yahoo and the other search engines?
How many visitors do you currently have visiting your website each month?
How many clients do you want to visit your website monthly?
Have you ever paid for search engine optimization before?
Do you need to be able to change the content of your website?

Special Instructions

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Special Instructions

Name
This field is for validation purposes and should be left unchanged.