Unique Kingdom Web Design
Fill out the form to request a free design - * = required
Name
*
First Name
Last Name
E-mail
*
Phone
Company Name
Domain Name
*
What hosting package did you purchase?
*
Please Select
Personal $399
Custom $450
Business $600
Do you have a logo?
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Yes
No
Do you have any pictures to put on your website?
Please Select
No. I don't have any pictures to put on my site.
Yes. I have 5 or less pictures to put on my site.
Yes. I have between 5 and 10 pictures to put on my site.
Yes. I have more than 10 pictures (between 10 and 20) to put on my site.
Yes. I have more than 20 pictures to put on my site.
What type of products / services do you offer?
*
Your Target Customers
*
Who do you sell your products/services to?
Website Menu and Pages
Home
About
Services / Product
Contact Us
Others
Home Page Content
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About Page Content
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Services / Product Page Content
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Contact Us Page Content
Enter any content you want to be on this specific page
Other Pages Content
Please name the pages and provide the content you want to be on these pages
Special Instructions
Any further information that can help us design a website to your preferences
Do you have a paypal account?
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Yes
No
Upload any files (such as logo, images, marketing materials or catalogs, etc.) that might be helpful to your website design
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