New Customer Form

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?