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A Site 4 Me

AFFORDABLE WEB DESIGN SOLUTIONS

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Website Request Form

Tell us about your business, and what you expect from your new website.

We will use this information to create your draft website.

Full Name

Email

Business/Website Name

Business Moto / Subline

Tell us a bit more about your business

What is the purpose of the website (Choose all that applies)

Online Store - Sell Products on the Website

Sell my Services on the Website (Cleaning, Therapist, Lessons etc.)

Potential Customers to Find my Website for Information

Receive Phone Calls (on the website)

Attract Potential Customers to my Physical Location (Restaurants, Store)

Not Sure

Do you have a Logo? *

Yes

No

Load Your Logo

Upload supported file (Max 15MB)

Check all the Pages You'd like on your webite

Home Page, About, Contact Us

Blog Page

Testimonial Page

FAQ Page

Chat Feature

Newsletter Signup

Bookings/Appointments

Online Store

Event Calendar

Another Page?

What other pages would you like to include?

Website Colors?

Please upload any Images you want us to Include in your website.

Upload Image

Upload supported file (Max 15MB)

Upload Image

Upload supported file (Max 15MB)

Upload Image

Upload supported file (Max 15MB)

Upload Image

Upload supported file (Max 15MB)

Upload Image

Upload supported file (Max 15MB)

Upload Image

Upload supported file (Max 15MB)

Anything else we need to know?

Thank You! - Look for an Email Response from us.

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