Website Service Request Form

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Name

First

Last

Confirm Email

Do You Have a Domain Name Already?

Domain Names are the address where your site will be find at. Example: MyPage.com

Do You Need Personalized Emails?

Personalized emails are those where you can have an email with your domain name, it usually comes with your Hosting package.

Enter your comments for Domain here

If you Have a domain name enter it here, also mention the name of the vendor where the domain was purchased and if you know if this can be transferable or not.

Do You Have a Hosting Service Already?

Domain Hosting Services are the computers where your site lives 24/7 and the way your site will be found active on the internet. Example: HostGator, BlueHost, Namecheap, GoogleSites, Etc.

Are You Looking for a Simple WebSite or a E-Commerce Store?

Please advise what are your 2 or 3 primary colors for the Site

Do you Have Experience With any WebSite Builder?

Wix, Shopify, WordPress, Etc.

Will You Need Support Assistance after the Site is up and Running?

This is to ensure the site is running healthy, also if you need to add or remove features and you do not understand how.

How Soon Do You Need Your Website?

Please enter a goal date when you will like to have your site up and running.

Payment Processing Accounts you Have.

Please add here the name of the Payment Processors Accounts you have and if you have any prefference on any of them. Examples are: Stripe, Square, Paypal, ApplePay, GooglePay,

By sending this form you agree to share the information entered with the site admin. Rest assure you information will not be shared with third parties. Please read our Privacy Policy if you have any questions or concerns.