Design Request

Please fill out this form in its entirety for a design quote. If you have any questions, please email us at hello@karmichosting.com.

Client Information

First Name

Last Name

Company Name

Email Address

Address 1

Address 2

City

State/Region

Zip Code

Country

Phone Number

Website URL

Describe the business in detail.

What is your role and title?

Design Questionnaire

Fill out section A for web design, section B for graphic design, or both.

Section A

Do you need web design?
 Yes No

If you don't have a website URL currently, what do you have in mind?

What type of website are you interested in (check all that apply):
 corporate restaurant information blog forum product showcase shopping cart portfolio other

If other, describe.

Do you have a logo?

If so, what format is the logo in?

What are you looking to get out of your web presence?

Describe the look and feel you want your website to have. Use singe keywords at first, then be more descriptive.

Do you need us to write any content?
 Yes No

How many pages will you need created.

Do you need us to install or upload the website for you?
 Yes No

Section B

Do you need graphic design?
 Yes No

If you need us to use a specific typeface in headers or graphics, list it below.

What is the graphic for?

Describe the look and feel you want your graphic to have. Use singe keywords at first, then be more descriptive.

What are your company’s primary colors, if any?

Time Frame, Budget, and Authorization

How quickly would you like the this completed?

Choose your budget:

If you're completing this form for a company, are you authorized to enter into contracts and other agreements within the stated budget?
 Yes No

Web Hosting, Management, and Maintenance

Do you want us to host your website?
 Yes No

Do you want us to host your email?

Do you need us to manage or maintain your website (update content)?
 Yes No

Do you want access to a content management system, for easy content updates?
 Yes No

Will you need training on how to use the content management system (usually Wordpress)?
 Yes No

Web Hosting Options

All web designs include free essential shared hosting. The following upgrades or add-on services are available at discounted rates (price below is after the discount):

Upgrade to starter business hosting ($150/year)?
 Yes No

Add Data Recovery Service ($90.00/year, requires business hosting)?
 Yes No

Add Secondary Mail Backup ($50/year, requires business hosting)?
 Yes No