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Company Name*
Primary Products/Services*
Contact Name*
Contact Email*
Contact Phone Number*
Describe your target audience*
Does your company have a website?*
Who are your main competitors?*
What are their websites?*
What are the primary functions of your new website?*
Write a couple website you feel would be perfect for you?*
Approximately how many visitors do you anticipate per month?*
What is the timeframe required for deployment?*
Do you have a budget?*
