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Website Design Form

Please Read: The purpose of this form is to gather as many details as we can about your business and the intention behind the design, call to actions and your main business objectives. This form does not automatically save your work, so please set aside time to fill this out in it's entirety. 

Current Website

If you do not have brand colors yet, please visit the site linked here. Choose a max of 4 colors and then important that link below. If you need assistance with this, please reach out.

Wix has a variety of widgets/apps to make managing your business easier. Please take a look through this list and let us know what options you would like quotes for. Some widgets are free, while others have a monthly or yearly cost. 

Thank you for taking the time to fill out this form. This helps give me get a overall picture for what you're look for. 

Future Website

Business Information

Customer Details


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