1. Do you have a current website? If yes, what is your website? (required) 2. Do you have a current website domain name? If yes, what is it? (required) 3. If not, do you require us to register your domain name? YesNo 4. Do you require us to host your website? YesNo 5. Do you need an email address set up with the website too? If yes, how may email addresses do you require? 6.Would you like the ability to update the content (images and text) on your website after it is launched? YesNo 7. Do you have any specific images you would like on the website, or do you require photography too? 9. How many pages do you require on your website? (For example, Home, Products, Services, Blog, About Us, Contact = 6 pages) – Please list the pages 10. Do you have, or will you be supplying your own content? 11. Do you have any custom requirements for your website (examples include: online shop, online order forms, custom functionality such as calculations or auto-quotation forms)? 12. Are there any websites you have seen that you would like to emulate for your website? Please list any website addresses. 13. Do you have a specific timeframe in which you need the website complete by? 14. What do you intend the main purpose of your website to be? (i.e. generate leads, a place to direct people to for more information, taking orders directly online) 15. Do you have a logo / branding or style guide that you can provide? 16. Contact Name*(Required) 17. Contact Number 18. Email Address*(Required)