TEST PAGE Contact Us Name * First Last * Last Email * Phone * Message * reCAPTCHA If you are human, leave this field blank. Submit New Website Questionnaire New Website Questionnaire Thank you for your purchase. Please fill out the form below. This will help streamline your website build. Owner's Information First Name * Last Name * Phone * Email * Best days to call: Monday Tuesday Wednesday Thursday Friday Weekend Best times to call: Morning Afternoon Evening This information will be used to contact you and create any accounts if needed. Hosting and Domain Hosting Provider Login User Name Login Password I do not have hosting. Please create an account for me. Domain Name I do not have a domain yet. Please obtain a domain for me. Wanted Domain (Example: google.com) Your purchase covers hosting and domain for one year. Both will need to be renewed at the end of the year. Business Information Business Name * Business Address * Business Phone * Business Email I do not have a business email address. Please create the below email for me. Create Email (Example: myname@myDomain.com or info@myDomain.com) Content Please select all that apply. Logo * I have a logo I need a logo Images * Use stock images to make my website beautiful. I would like to use my own images for the website. Text Copy * I will provide the text for the pages. I would like BDD to use general text that relates to my business type. Your website is the middleman between you and millions of online users. You know your business better than anyone. You want your website to reflect your business as accurately as possible. Pages Please list the pages you would like for your website. Change defaults if needed. Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 I'm not sure which pages I want. Social Media Links If you would like links to your social media pages on your website please add the urls below. Facebook Instagram Youtube Twitter Pintrest Other Special Functions List and explain any specific functions the website needs to have. Example: Event Calendar, Blog. reCAPTCHA If you are human, leave this field blank. Submit
