Website Design Questionnaire Let's Get Started Contact Us Requirement Gathering Please provide us with a short summary of your requirements in order for us to assess your needs: Please enable JavaScript in your browser to complete this form. Company Name: *Contact Person's Name: *Phone Number:Email Address: *Current Website URL [If available]:Do you need a new Website designed or are you re-designing your existing Website? *New Website DesignRe-designing of an existing WebsitePlease describe your business or provide the main reason for the Website: *What products or services does your business/organisation provide? *Who is your target audience?Provide us with a URL of a website that appeals to you (if any):Please indicate which of the following you would need assistance with:Website Content, Text and/or ImagesBusiness/Company LogoPlease indicate which of our Website Packages you are interested in: *Basic Website - [R 2,500.00]Bronze Website - [R 3,250.00]Silver Website - [R 4,500.00]Gold Website - [R 6,000.00]Platinum Website - [R 8,500.00]eCommerce Website - [R 12,500.00]Submit
