Website Design by Blue Heron Web Design, Apps & Graphics, LLC.

Name

First Last

Company/Organization*

Phone*

Email*

Communication Preferences*

I would like to be contacted via email
I would like to be contacted via phone
I would like to be contacted via text message

Do you respond to email in a timely manner?*

Yes
No

Who will be handling email correspondence for this project?*

Email*

Are you the owner of this project?*

Yes
No

Please explain.*

Which of the following describes your website needs?*

I have an older web site that needs a fresh rebuild.
I've never had a web site.
My website is not mobile-friendly (responsive)
I can't get into my web site anymore and need help rescuing and rebuilding it.
I don't want to fool around updating my web site and I need help.
My web site doesn't show up on search engines and I need help.
I have an outline, wish list, or ideas for a new web site. [Upload documents below]

Attach outline, wish list, or ideas for a new website here:

Drop files here or

Website

Do you need email on your domain? (ie. myname@mywebsite.com)*

Yes
No

Approximately how many email addresses do you need?*

Please enter a number from 1 to 1000.

Do you have a logo and colors to be used on the website?*

Yes
No

Do you have original logo files that can be provided to us? (.eps, .ai, .pdf)*

Yes
No

Are you interested in design services?*

Yes
No

Please choose all that apply:*

What is your estimated budget?*

What is your target date for completion?*

Please include any additional details or information below.

I consent to having Blue Heron Web Design, Apps & Graphics, LLC and this website store my submitted information so they can respond to my inquiry via my preferred communication method.*

Yes, I consent.

Name

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