Professional Web Design Services Leave it to the Pros

Provide a little info, get a great website

Please fill out the forms below with the necessary information for us to build your website. The more information you provide the quicker and easier we can design a site based on your needs. In addition to the info requested below, we do offer the ability to add a Content Management System, which will allow you to update your site yourself. This could reduce the long term costs of keeping your website up and running for years to come. If you have any questions please email support@domainclub.com or call 888-288-3197



Business Information
Business Name*
Address*
City & Zip*
Contact Information
Full name*
Title*
City*
Primary contact email*
Phone*
Mobile
Fax
Website Information

Use this form to tell us as much as you can about your needs. This form will help you compile the various types of informa-
tion you need to communicate to us so that we can design an effective, comprehensive, and user-friendly company Website.

Website Domain / URL*
Objectives*

What are you trying to achieve by building website?

What do you want the visitors to do when they visit your website?
Target Audience for the Site*
You Business / Service Category*

(e.g. Interior Designer, Fashion Designer, Transport, Plumbing, Heating & Cooling, Attorney)
Name any 5 Services / Products that you deal with
Business name as it should appear on website*
Catch lines / Headlines / Slogan
you want us to include in the website*
Template Selected ( Gallery )
Logo Enclosed
Logo should be in jpeg, gif, png or tif format
(Logo design not included in this package)
Images*
( We strongly advise you to give us the images in digital format for better results; we cannot be held responsible for poor quality printed images)
Would you be giving us your own images or you want us to use Stock images?
(Please attach the Art Release duly signed)

Example of websites you like
(Please specify what you like in the example website)
Site map
Specify the web-page names (ex: Home, Services, Portfolio, Contact us..)
Color Preferences
Do you want a CTA (Call-to-action)
Do you want to include Toll-Free no.
(In-case you have one)
Do you want a Contact Form?
(if yes please specify the email address for capturing the form data)
Facebook URL Link
Twitter URL Link
LinkedIn URL Link
Any special instruction you would like to include besides the information provided above
Page 1 (Home Page)
Special Notes for this page*
Page Name Corresponding to Navigation Menu Link*
* Images and Captions Under Photo If Required
(Specific images required if any)
Page Content*
Page 2
Special Notes for this page*
Page Name Corresponding to Navigation Menu Link*
* Images and Captions Under Photo If Required
(Specific images required if any)
Page Content*
Page 3
Special Notes for this page*
Page Name Corresponding to Navigation Menu Link*
* Images and Captions Under Photo If Required
(Specific images required if any)
Page Content*
Page 4
Special Notes for this page*
Page Name Corresponding to Navigation Menu Link*
* Images and Captions Under Photo If Required
(Specific images required if any)
Page Content*
Page 5
Special Notes for this page*
Page Name Corresponding to Navigation Menu Link*
* Images and Captions Under Photo If Required
(Specific images required if any)
Page Content*
Additional Information
Domain Name*
Do you have hosting

Please provide FTP details*

Host:

Username:

Password:

Select Best Hosting Package For You*

SSL/Dedicated IP

Add CMS (Content Management System) + Blog + $300
Add Mobile Site Design

- I have read, understood, and agree to the DomainClub.com terms of service and privacy policy.

*- This field is required