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  * Fields are mandatory
   
 

Please provide the basic information needed to get your website Started.

More detailed information can be added once your website is live.

   
  * Client Name & Surname :
 
   
  * Current Email Address:
 
   
  * Contact Number:
 
   
  * Business Name:
 
   
  Business Slogan:
 
   
  Physical Business address:
 
   
  Domain required (yourdomain.co.za):
 
   
  Domain transfer Required - give Domain name:
 
   
  E mail address Required ( ex: info@yourdomain.co.za):
 
   
  About Us Text - (tell your story to capture the essence of who you are as a company and as a brand):
   
 
   
  Home Page - What would you like to see on your home page:
   
 
   
  * Contact Information to be Used on Website:
   
 
   
  Company Logo:
 
   
  Frequently Asked Question + Answer 1 :
   
 
   
  Frequently Asked Question + Answer 2 :
   
 
   
  Frequently Asked Question + Answer 3 :
   
 
   
  Examples of Websites you like (completely optional) :
   
 
   
   
 

Load Pictures to be used on Home Page (not compulsory)

Additional Images can be mail to me - info@webanswer.co.za

   
  Homepage Image 1:
 
   
  Home Page Image 2:
 
   
  Home Page Image 3:
 
   
  * Website Selection:
     
  R 500 - Basic website
  R1500 - Standard website
  R2500 - Design Standard website
  R3200 - Custom website
     
  Colour Choices for your Website:
   
 
   
  Add any Additional Request or Comments: