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Website Design Request Form
Get a lot of website design requests with a nice and simple looking request form.
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1
Name
First Name
Last Name
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2
E-mail
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3
Phone Number
Area Code
Phone Number
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4
Company
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5
Type of Business
Please Select
Technology
Food
Beauty
Finance
Others
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Please Select
Technology
Food
Beauty
Finance
Others
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6
Type of Website You Need?
Please Select
Personal
Educational
Sport
Food, Restaurant
Local Business
Small Business
Medium Business
Others
Please Select
Please Select
Personal
Educational
Sport
Food, Restaurant
Local Business
Small Business
Medium Business
Others
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7
Choose Items for the Navigation Bar
About
FAQ
User Guide
Forum
Blog
Shop
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8
More Items
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9
Additional Services
Banner Design
Landing Page Design
Advertisement Management
SEO
Video
Analytics
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10
Additional Comments
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11
if you have it ready
Drag and drop files here
Select files to upload
Max. file size
: 10.6MB
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