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Name*
First Last
Organization
Phone*
Email*
Current website (if applicable)
Do you have a domain name?*
- Yes
- No
What is the domain name?
Who is the typical user of your website?*
What are the goals of the website?*
What types of content will be used in the website?*
For example blogs, vlogs, picture galleries, etc.
Show any examples of sites you like or want your site modeled after.
What is the message you want to convey with the website?*
What type of functionality do you want the site to be able to do? (Select all that apply.)*
- E-Newsletter
- Organizational Email
- Calendar / Events
- E-Commerce / Payments
- On-line Forms
- Integration with other systems
Do You Need a Logo?*
- Yes
- No
If you need an organizational email, how many email addresses do you need?
Additional comments
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