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Company Name*

Contact Name*

Primary Products/Services*

Contact Email*

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Describe your desired target audience*

Does your company have a website?*

Who are your main competitors?*

What are their websites URLs?*

What are the primary functions of your new website?*

Write a couple website you feel would be perfect for you?*

Approximately how many visitors do you anticipate per month?*

Whats your design & development budget?*

Will you need maintenance and SEO after you launch? What would be your budget?*

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What is the timeframe required for deployment?*

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