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1. Business Name: (required)
2. Business Email: (required)
3. Personal Email: (required for additional info)
4. Business Phone#: (required)
5. Business Address: (if applicable)
6. Business Slogan: (if any)
7. Do you have a logo?: YESNO
8. If yes, please attach:
9. Preferred Colour/s?:
10. Mission Statement?:
11. List Services Offered: (required)
12. Already have a Domain Name?: (required) YESNO
13. If Yes, Please Provide Below:
14. Have a Current Web hosting Plan?: (required) YESNOI DON'T KNOW
15. What Pages Would you Like to Have?:
16. Do you intend to Provide additional content to visitors such as?: e.g Terms of Service for clients, Tutorials, Presentations, Videos, PDF Documents, Downloadable Content etc. YESNO
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