SiteXcel Website Design Checklist Form First Name First Last Name Last Business/Organization Name name for your proposed website Email where you can be contacted (functional email address) Phone * functional Website Address Address Line 2 City State ALAKARAZCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCook IslandsCosta RicaCôte d'IvoireCroatia (Hrvatska)CubaCyprusCzech RepublicCongo (DRC)DenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Islas Malvinas)Faroe IslandsFiji IslandsFinlandFranceFrench GuianaFrench PolynesiaFrench Southern and Antarctic LandsGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong Kong SARHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao SARMacedonia, Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabwe Name and details of your referral (if applicable). We value all our clients/affliates and provide incentives Details of your current Domain Name and Website Hosting (if applicable) What Kind of Service(s) do you require? Website Design (New) Website Upgrade/Redesign Website Management/Maintenance (Monthly Option) Website Management/Maintenance (Yearly Option) Website Management/Maintenance (One Time Option) Website Online Security Search Engine Optimization Business Consulting Service Domain/Hosting Service Type of Website Required Corporate Business E commerce Website Education Website Religious Website Accountant Website Clinical or Healthcare Website Non Profit Organization NGO Personal Website OtherOther Othey type not listed Preferred Website Application (Choose One) HTML Content Management System CMS Dont Know, need advice Do you have a logo Yes No, need help with design No, will sort it out Your preferred overall color scheme, state two example, white background and blue; dark background and cream, or let it match my logo Your Online Business Target Audience USA Africa Europe Asia Other Specific Geolocation Adult Youths Children OtherOther Please check all that applies and include additional related information Have you got data, images, pictures or content to use on the website or do you require assistance with content? * Yes, will provide No, require assistance Not yet, but can provide Your online business goal and mission * Please list any functions, features, or services that you would like to include on your website or inquire about. * Example: Audio, Video, Domain Name Registration, Email Accounts, Flash Media, Logo Design, Blog / Newsletters, Online Forms, Events Calendar, Chats Functionality, CRM - Customer Relationship, Ongoing web site Management, Bookings, Scheduler. (additional cost may apply) Choose all other preferred add-ons Social Media Integration, Backend Control Panel, Front-end Editing, SEO - Search Engine Optimization, Online Security, Site Lock. ID Protect, Email Marketing, Legal Privacy Policy. Website Optimization. Shipping, Tracking, FAQ & Help Desk, Bookings & Scheduler, Invoicing, PayPal Integration, (additional cost may apply) For Ecommerce Website, choose your preferred Addons Choose all preferred options: Product Compare, wish list, quick view, shopping cart, price filter, bulk purchase discount, coupons, testimonials, user management, user reward program, custom invoice, product slider, FAQ, goods purchased tracking, international Please provide 2 or 3 Url address of your competitors. Why do you like these sites? What particular features interest you? Any Other Information that we need to know Upload related document if available Drop a file here or click to upload Choose File Maximum file size: 268.44MB You can also email additional data to sitexcel@gmail.com after submission of this form What is your overall financial budget for this project * Be as realistic as you can, we will try and work within your budget if it is possible. You can also check our package pricing on our website What is your target date? * Website design is usually completed within 14 business days or less if all your data is available Signature * Type your full name. (Please go through the form again for accuracy before submission) Date * Time * 121234567891011 : 0030 AMPM Are you human? Submit Checklist Δ
