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General Information First Name: Last Name: Contact Number: Email: Address: City: State: Zip: Information about the Company Company Name: Your Position or Speciality: Address: City: State: Zip: Company Website URL About Your Products and Services Your Ideal Customer Your Primary Competitors Information about the Project Do you have a set Budget? What is the Timframe of your Project? Yes No One Week Two Weeks A Month Give a short description of your project and what you would like to see covered and the main emphasis of your site. What Existing websites appel to you ? (please provide us at lease three links to specific websites) Is there an Existing color scheme? (if so please tell us) Do you have the needed content? Yes No, please provide Master Classes Is SEO work required? (search engine optimization) Yes No Is programming required? Yes No Do you know the approximate number of webpages that youd like to have? If No please estimate Yes No Would you like a Video on your home page introducing yourself? Yes No Are there any additional design details?

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