Web Intake - Ravalak.ca

First Name*

Last Name*

Phone

Email*

Business Name*

In what City or Town are you located?*

Do you currently have a website?*

Please select

Please select
Yes
No

Website*

Do you have web hosting?*

Please select

Please select
Yes
No

Who is your web hosting with?*

What type of design do you prefer?*

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Please select
Minimalist Style - Scrolling site with sections
Tab Style - Site with diffent pages for sections

Do you have any design concepts in mind?*

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Please select
Yes
No

Please describe any design concepts or sites you like?*

What design options are you interested in?*

Do you offer free estimates?*

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Please select
Yes
No

Within which geographical areas do you provide your services?

Simply list towns or cities.

If you were asked to describe your business in one short sentence what would you say?*

Please list all services that you offer

Do you have a logo?*

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Please select
Yes
No

Would you like a logo designed?*

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Please select
Yes
No

Are there any specific images you would like to use?*

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Please select
Yes
No

We will provide you with a USB or an upload link for your images once we have reviewed your form submission.

How many sections or pages would you like to start with?*

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Please select
1
2
3
4
5
6
7
8
9
10+

Please state the titles and base text for pages or section.*

This is simply an overview of the page/section name and content type, we can get more information later.

Are you interested in any of the following services?

Are you registered as business with any of the following platforms?

Is there any other information you would like to share at this time?*

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Please select
Yes
No

Further information*