Brief / Questionnaire

If you're ready to get started on your new website, simply complete the form below and click on submit
and we will contact you as a first priority.

Business / Company Name (if applicable):
Business Address:
Business Phone:
Business Email:
ABN / ACN (if applicable):
Contact Name: *
Contact No.:
Contact Email: *
Nature of Business:
Do you have a slogan or positioning statement for your business?:
Do you already have a registered domain? (e.g. www.yourwebsite.com): *	Yes No
If yes, what is your domain name:
If no, would you like us to register a domain for you ($12 per year, min 2 years):	Yes No
Would you prefer a .com or .com.au domain? (refer FAQ's for details)	.com .com.au Not Sure
Do you already have a web host?: *	Yes No
If yes, who is your web host: (Please forward their confirmation email to info@glowwebdesign.com)
If no, would you like us to arrange hosting for you? ($54 per year):	Yes No
What are your preferences for a domain name?: (Eg www.yourwebsite.com)
1st Choice:
2nd Choice:
3rd Choice:
Do you require a complimentary email address?: (eg yourname@yourwebsite.com)	Yes No
If yes, what prefix would you like?: (ie name@yourwebsite.com)
Do you have a company logo?:	Yes No
Logo #1:
Logo #2:
Logo #3:
Do you have any colour preferences?	Yes No
If yes, please provide details:
Do you have any font preferences?	Yes No
If yes, please list fonts:
Have you come across any websites that you specifically liked?
Website #1
Website #2
Website #3
If yes, what did you like about these websites?
Are there any particular symbols or images that you thought you might like to incorporate into your website?
Is there a particular design style you are after?	Corporate Fun Classic Warm Other
If other, please specify:
What pages would you like to include in the website? (Home page is mandatory & Contact page is highly recommended). The first 3 pages are included & each additional page is $150.	About Services Products Contact	Testimonials Links Not Sure Other
If other, please specify:
How did you hear about us?: *
Do you have any further requests, inclusions or comments relating to the construction of your new website?