New Customer Form Please fill out the form below: First Name (required) Last Name (required) Company Your Email (required) Phone Number (required) Preferred Contact Method? PhoneEmail How did you find Hallow Sites? (Google, Business Card, other website, etc) None of the following answers are required, complete what you want. Thank You! Current Web Presence Do you currently have a website? If so, what's the address? (If not, leave blank) Do you have hosting? YesNo If yes, please include webhost's details If no, are you interested in us providing you hosting? YesNo Do you have a domain name registered? YesNo If yes, please include domain name and registrar's details if you know them If no, are you interested in us registering your domain name? YesNo Do you currently have a logo and/or corporate colors? Do you have any content for the site currently? What You Want What is the website's main purpose? To sell products? YesNo To promote services? YesNo To collect email addresses? YesNo To build a brand / community? YesNo Other? What is the desired outcome from a visitor coming to the website? To leave an email address? YesNo To make a purchase? YesNo To contact you? YesNo To fill out a form? YesNo Other? Do you want any of the following? Blog? YesNo Social sharing icons? YesNo Links to social profiles? YesNo Contact form? YesNo Email signup form / ability to collect email addresses? YesNo Ability to sell digital products? YesNo Ability to sell physical products? YesNo Other? Further Information Who is your website's target audience? How many pages will the website have roughly? 1-1010-100100+Not Sure What is your budget? $500+$1,000+$2,000+$3,500+$5,000+Not Sure When would you like the website completed? Two or three websites you admire or would like to emulate? (Please list URLs) Additional Comments?