Website Design ‐ Client Information Form

1 Your Details

Name & Surname

Business / Organisation Name

Email

Phone / WhatsApp

Business Address

Do you already have a domain name?

YesNo

Current domain name (if applicable)

If you need a new domain name, please suggest 3 options you would like us to check

1.

2.

3.

What is the main purpose of your website?

Briefly describe your business or organisation

Any special features required? e.g. WhatsApp button, online payments, bookings, newsletter, Google Maps, etc.

List 3 websites you like

1.

2.

3.

Do you already have the text/content for your website?

YesNoSome of it

Upload your logo (PNG, JPG or PDF, up to 5MB)

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Upload a photo/image you would like us to use (JPG or PNG, up to 5MB ‐ for more than one, please email the rest to info@benhein.co.za)

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Please tell us anything else you would like us to know about your new website