YOUR DETAILS

What is Your Name?*

What is your Email?*

Your Company's Name*


YOUR CURRENT SITUATION

What is this project about?*

New WebsiteWebsite RedesignOther

Do you want Webcare to arrange Website Hosting?*

YesNo

Do you have a registered Domain Name?*

YesNo

If yes, Domain Registered*

Do you currently have a logo and/or brand colours?

Yes - Brand Colours & LogoYes - Only Brand ColoursYes - Only LogoNo - None of the above

Do you want Webcare to secure your Domain Name?*

YesNo

If yes, Domain you wish to secure*

Do you have any content at the moment?

YesNo


WEBSITE FEATURES

Please select the response(s) that best suit(s) your expectation.


What is the website’s main purpose? To:

Sell ProductsPromote ServicesCollect Email AddressesBuild a Brand/CommunityOther

What is the desired outcome from a visitor arriving at your website? To:

Leave an Email AddressContact YouFill out a FormPurchase ProductsOther

Do you want any of the following integrated into your website? If yes, please choose.

BlogSocial Sharing IconsLinks to Social ProfilesContact FormEmail Signup/Ability to Collect Email AddressesAbility to Sell ProductsAbility to Collect TestimonialsAll of the AboveOther


ADDITIONAL INFORMATION

Roughly, how many pages you anticipate your website to have?*

eg. Home, About Us, Contact Us, Services, Blog, etc.

1-10 Pages11-20 Pages21-30 Pages31-40 Pages41-50 Pages51+ Pages

Will you be maintaining the website in house?*

YesNoWill ask Webcare Solutions to

Ideally, when would you like the website completed?*

Example Websites

Additional Comments

Please send us any sample files you want to share with us.

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