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Website Form/Formulario para sitio web

Today's date

Website Languaje/Idioma del sitio web

Untitled multiple choice field

Contact Details

Full Name


Phone Number

Web Design

Company Name

Do you have a Slogan? Writte bellow

Company Address

Company Phone Number

Platform to use

Platform to use

Social Media Links (if you have)

"If you do not have social networks we can help you create them, then click in the checkbox"
Untitled checkboxes field

Do you have an image (flyer, business card or something) where we can see the data of your company? upload it below

Preferred website direction (at least 1 option):

How would you like your website to be? Place below the links of other websites that you like (at least one):

What services do you offer? Describe each of your services for a better understanding of the web designer:

The idea or concept of your page, Who we are: (About us) Why us?:

If you feel there is something else we haven't covered in this form, you can add the information here.

In the next page we have to know some detalis of your products or services! :)