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Web Design Intake Form
Tell us about your project so we can design a site that fits your business perfectly.
Full Name*
Email*
Pick Your Package*
-- Select a Package --
Starter Web Design — $299
Launch System — Starting at $499
Growth System — Starting at $999
Basic WordPress — $999
Professional WordPress — $2,499
Enterprise WordPress — Starting at $4,999
Maintenance Plan — $49/mo
Preferred Platform
No preference
Simple Website Builder (fast & affordable)
WordPress (advanced & highly customizable)
Not sure — please recommend
Business Name
Industry / Niche
Website Goal
(choose all that apply)
Generate Leads
Book Clients
Sell Products/Services
Build Brand Presence
Provide Information
Start a Blog / Publish Content
Sell Digital Products or Courses
Membership / Client Portal
Improve SEO & Rank on Google
Accept Online Payments
Migrate Website from Another Platform
Requested Pages
(choose all that apply)
Home
About
Services
Blog
Contact
Booking Page
Shop / Store
Product Pages
Pricing Page
Portfolio / Gallery
FAQ Page
Testimonials / Reviews
Landing / Sales Page
Privacy Policy / Terms
Careers / Hiring Page
Other
Design Style
Minimal & Clean
Corporate & Professional
Bold & Creative
Modern Tech-Inspired
Special Features or Integrations
Submit Intake Form
Services
Web Design
Automations Systems
Website Managment
Mobile Notary & Fingerprinting
EricaxNicole Digital Products
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Services
Web Design
Automations Systems
Website Managment
Mobile Notary & Fingerprinting
EricaxNicole Digital Products
Shop
Log In
Cart
