WEBSITE BUILD

Website Build Intake Form

Tell us about your project. The more detail you provide, the faster we can build your website. All information is kept strictly confidential.

Prefer to fill it out offline?

Download the fillable PDF, complete it, and email it to [email protected].

Business Information

Business / Organization Name *

Owner / Primary Contact Name *

Email Address *

Phone Number *

Business Website (if any)

Industry / Type of Business *

Physical Address (Street, City, State, ZIP)

Years in Business

Number of Employees

About Your Business

What does your business do?

Who is your target customer? (age range, demographics, location)

What problem do you solve for your customers?

What makes you different from your competitors?

Website Goals

Primary goals (select all that apply)

Other goal

What does success look like 90 days after launch?

Website Type & Pages

Type of website (select one)

Other type

Pages you need (select all that apply)

Other pages

Approximate total number of pages

Design Preferences

Do you have an existing logo?

Primary brand color(s) (hex or describe)

Secondary brand color(s)

Preferred website style

List 2-3 websites whose design you like

Any design elements you absolutely DO NOT want

Content & Media

Do you have written content (text) ready?

Do you have professional photos or images?

Do you need video on the website?

Do you have testimonials or reviews ready?

Do you have a domain name?

Do you have web hosting?

Features & Functionality

Select all features your website needs

Other features

Social Media

Add the profile URL or handle for each platform you use.

Facebook

Instagram

YouTube

TikTok

X (Twitter)

Other

Competition & References

List your top 3 competitors and their websites

What does your competition do better than you right now?

Timeline & Budget

Desired website launch date

How soon do you want to get started?

Estimated budget for this project

Ongoing website maintenance needed after launch?

Do you need website hosting provided by NMTS?

Anything Else?

Is there anything else we should know about your project or business?

Confirmation

By submitting, you confirm the information provided is accurate to the best of your knowledge and authorize New-Miracles Technology Solutions to use these details for scoping, architecture planning, and website proposal preparation.

Printed Name

Title / Role