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First Name

Last Name

Email

Phone

Select a Service

Choose an option

Do you have a domain?

Yes

No

What is your current website domain? Where did you purchase it?

Are you aware of Wix Premium Business Plan Pricing?

Yes

No

Please describe your business. (i.e. Restaurant, E-commerce, Filmmaker, etc. )

Are you selling products?

Yes

No

How many products do you have?

Less than 10

10-25

25-50

50+

What features are you looking for?

Store

Blog

Gallery

Mobile Compatable

Basic SEO Set Up

Social Media Integration

When is your project due?

What is your budget range?

I don't know

$500-1,000 USD

$1,000 - $2,000 USD

$3,000 - $5000 USD

$5,000+

Any additonal comments?

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