SUPPORT AND CHANGE REQUEST FORM

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Name*
First Last
Email*
Phone
Company / Organization*
Your Title / Position
Current Website URL
Other Website URLs (if multiple sites)
If I were to meet you one year from today, ideally, how would your business have changed?*
Be as specific as possible with where you'd like to be a year from now.
What's at stake if don't reach these goals? What will you lose? How will you, your business, or your family be affected?*
What do you perceive to be the biggest obstacles that are preventing you from taking your business to getting there?*
What are your 3 greatest growth opportunities or weaknesses?*
Do you have a specific strategy or blueprint to help you accomplish your business goals?*
What are the primary goals for the website?*
Ex – (“inform people of our services” • “attract potential customers” • “get people to call us” • “get people to sign up” • “get people to donate to our cause”)
What call-to-action should be on the site?*
Ex – (call, purchase, sign up, donate)
What type of functionality would you like to see?*
Ex – (blog, events, picture galleries, etc)
How many pages do you foresee in the initial development? (please describe them)*
Ex – (4-5, home, about us, contact us, our services)
Do you currently have a domain name and a hosting plan in place?*
If so, what company? If not, would you like KSR Design to host your site?
Will you or one of your staff want to edit pages or manage the site?
- Yes
- No
If you'd like to edit, update or manage the site, what's your technical skill level?
- I don't know too much about computers and would need a lot of direction
- I'm capable but would need some clear direction
- I'm advanced and can learn very quickly
Please provbide any other feedback, comments or information that'll help us in creating your proposal

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Name*
First Last
Email*
Organization Name, City and State
Your Question*
Do you want us to keep your name and organization private?*
- Yes, please.
- No, you can mention us by name.

SUPPORT AND CHANGE REQUEST FORM

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Process Your Order