Website Design Intake Form Name* First Last Business Name* Email* Phone*Type of Business/Niche* Services/Products Offered* Target Audience* Website* Location* Desired Web Package* Basic E-Commerce $1000+ Basic Wordpress $3000+ Standard Wordpress $4000+ Premium Wordpress $5500+ Please Specify Budget, if applicable Desired Start Date* MM slash DD slash YYYY Details on what you are looking for i.e. new website, redesign, special features, etc