Website Requirements Form
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Business Name
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Contact Person Name
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Email Address
Phone Number
Please provide a brief description of your business. What products or services do you offer?
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What makes your business unique compared to competitors?
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What is your company’s primary goal or mission?
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What is your long-term vision for the business?
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How long have you been in business, and what milestones have you achieved so far?
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Who are your ideal customers? Describe their demographics.
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What specific problems do your products or services solve for your customers?
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What motivates your customers to choose your business over competitors?
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What is your process for delivering your products or services?
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What is the typical timeline for delivering your services or products?
Do you have any existing customer testimonials we can feature?
Yes
No
What are the core values your business stands for?
What is the most important thing you want customers to know about your business?
Do you have any achievements, certifications, or recognitions you’d like to showcase?
What is the primary action you want website visitors to take?
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Business Name
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Contact Person Name
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Email Address
Phone Number
What type of website did you subscribe to?
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Select...
Business Website
E-Commerce Website
Which plan did you choose?
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Select...
Starter Plan
Standard Plan
Enterprise Plan
Do you have an existing logo?
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Yes
No
Please upload your logo file
*
Choose File
No file chosen
Would you like us to design a logo for your business?
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Yes
No
Do you have brand colors or specific design preferences?
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Yes
No
Please input your hex color codes or tell us your design preferences
*
Do you have specific content (images, etc) you would like us to include on your website?
*
Yes
No
Please provide a brief description of your business. What products or services do you offer?
*
What makes your business unique compared to competitors?
*
What is your company’s primary goal or mission?
*
What is your long-term vision for the business?
*
How long have you been in business, and what milestones have you achieved so far?
*
Who are your ideal customers? Describe their demographics (age, location, profession, etc.).
*
What specific problems do your products or services solve for your customers?
*
What motivates your customers to choose your business over competitors?
*
List all the products or services your business offers.
*
What is your process for delivering your products or services?
*
What is the typical timeline for your services/products?
Do you have any specific systems or tools that streamline your workflow?
What are the core values your business stands for?
What is the most important thing you want customers to know about your business?
Do you have any achievements, certifications, or recognitions you’d like to showcase?
Do you have any existing customer testimonials we can feature?
Yes
No
Can you share any success stories or case studies from working with customers?
Yes
No
What is the primary action you want website visitors to take? (e.g., contact you, book a service, purchase a product)
*
Book a Free Consultation
Let us know a bit about your goals, and we’ll get in touch to schedule a free consultation. Together, we’ll discuss your vision and identify how Netblaze Digital can bring it to life.
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First Name
*
Last Name
*
Email
*
Contact Number
*
Business Name
*
Select Your Service Needs:
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Hosting & Maintentance
Website Design
Software Development
Search Engine Optimization (SEO)
Pay Per Click (PPC) Advertising
Video Marketing
Additional Comments or Questions
Animation Video Package
Name
*
Company / Business Name
*
Email
*
Phone Number
*
Animation Video Package
*
Select an animation video package...
Whiteboard Animation
2D Animation
3D Animation
Budget
Select...
Under R5,000
R5,000 - R10,000
R10,000 - R20,000
Over R20,000
Message
Search Engine Optimization (SEO) Package
Name
*
Company / Business Name
*
Email
*
Phone Number
*
Search Engine Optimization (SEO) Plan
*
Select a serach engine optimization (seo) plan...
Standard Plan @ R2999 p/m
Plus Plan @ R5999 p/m
Enterprise Plan @ R9999 p/m
Message
Website Maintenance Package
Name
*
Company / Business Name
*
Email
*
Phone Number
*
Website Maintenance Payment Plan
*
Select a website maintenance payment plan...
Monthly
Annually
Monthly Website Maintenance Package
*
Select a monthly website maintenance package...
Standard Package @ R249 p/m
Premium Package @ R499 p/m
Premium Plus Package @ R749 p/m
Annual Website Maintenance Package
*
Select an annual website maintenance package...
Standard Package @ R2499 p/a
Premium Package @ R4999 p/a
Premium Plus Package @ R7499 p/a
Message
Hosting Package
Name
*
Company / Business Name
*
Email
*
Phone Number
*
Hosting Payment Plan
*
Select a hosting payment plan...
Monthly
Annually
Monthly Hosting Package
*
Select a monthly hosting package...
Bronze Package @ R99 p/m
Silver Package @ R149 p/m
Gold Package @ R299 p/m
Platinum Package @ R449 p/m
Annual Hosting Package
*
Select an annual hosting package...
Bronze Package @ R999 p/a
Silver Package @ R1499 p/a
Gold Package @ R2999 p/a
Platinum Package @ R4499 p/a
Message
Website Design and Development Package
Your Name
*
Company / Business Name
*
Email
*
Phone Number
*
Website Package
*
Please select a website package...
Single-Page Website
Standard Website
E-commerce / Online-Shop
Budget
*
Please select your estimated budget...
Under R2,500
R2,500 - R5,000
R5,000 - R10,000
R10,000 - R20,000
Over R20,000
How did you hear about us?
*
Please let us know how you found out about our services...
Word of Mouth / Referral
Search Engine (e.g., Google)
Social Media (e.g., Facebook, Instagram)
Online Advertisement
Email Newsletter
Blog Post
Event or Conference
Other
Message
*
Let's Get In Touch!
Send A Message
Schedule An Appointment
Your Name
*
Company / Business Name
*
Email
*
Phone Number
*
Select Services of Interest
*
Hosting
Website Design and Development
Website Maintenance
Search Engine Optimization (SEO)
Video Production
Budget
*
Please select your estimated budget
Under R2,500
R2,500 - R5,000
R5,000 - R10,000
R10,000 - R20,000
Over R20,000
How did you hear about us?
*
Please let us know how you found out about our services.
Word of Mouth / Referral
Search Engine (e.g., Google)
Social Media (e.g., Facebook, Instagram)
Online Advertisement
Email Newsletter
Blog Post
Event or Conference
Other
Message
*
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