Popup – Get Started (Template)

Name

First

Last

Company

Email

I am:

Web agency / Freelancer

Other

White label

Yes

No

I am looking for the following services:

Maintenance tasks / Support

Design / Development

Commitment:

One-off Support

Regular Support

Website/URL

Complexity:

Brochure Website

E-commerce / Complex website

Describe what kind of support you are looking for:

Starting point:

New Website

Redesign Existing Website

Website/URL

The new design is ready and I'm able to share all the assets (images, copy, et...)

Yes

No

Complexity

Easy (Simple Brochure Website)

Medium (E-commerce, Dynamic content)

Complex (Custom integrations)

Specific Requirements

Timeline

Urgent (< 2 weeks)

Moderate (< 1 month)

I'm not in a hurry (<1 month)

Budget

Small (USD 2k - 5k )

Medium (USD 5k - 10k)

Large (USD 10k - 30k)

Will you provide all the assets (design, images, copy, etc...)?

Yes

No

How many hours per week?

5 to 10 hours / week

10 to 20 hours / week

20 to 40 hours / week

Specific Requirements

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