WEBSITE DESIGN ORDER FORM




All the information you provide will remain confidential.
*Indicates a required field

1
CLIENT INFORMATION

Company name*
First name*
Last name*
Address (line 1)*
Address (line 2)*
Address (line 3)
Post code*
Country*
VAT no. (Enter 'n/a' if none)*
Email address*
Website address
How did you hear about Attuale Graphics?


2
DESIGN INFORMATION

Have you already a hosting and domain name?* Yes, at the following address:   No
Website pages*
(i.e. Home, About, Products, Bags, Shoes, Belts, Events, Contact, ...)
CMS*
(A Content Management System allows you to easily edit your website)
Yes  No
Your business*
(i.e. what type of products or services your company supplies... etc.)
Colors*
Your company's personality
(what would you say if someone asks you about your company?)
Effect / style you are looking for
Suggest some sample websites that you like*


Do you have any additional concepts or ideas?


I agree to the Terms and conditions*