Custom Web Design Form

Thank you for considering DesignHoot! Please fill out and submit the following form for a DesignHoot Custom Web Design. There is absolutely no obligation to hire DesignHoot for either design or hosting services by providing this information.

After you submit the form, we will get back to you promptly with a Custom Design proposal. Should you decide to hire us to design your website you will accept the proposal and make your initial payment (either first monthly payment or a deposit). We will create your account and send your client details and how to upload any branded assets you have for your website.

All fields are required, unless noted as optional. Click into an input field to type your response.

Custom Web Design Custom Web Design Custom Web Design

Enter your Name

Enter your Email Address

Please confirm your email address by re-entering here

Enter your Phone Number (optional) - please include area code and enter as: ###-###-####

Enter your Company or Organization (optional)

Are you located in the United States? Are you located in the United States? YES NO

What state are you in? (We may need this for sales tax calculation)

Please describe your brand and what type of website you are looking to have designed.

What is your website domain name / desired domain name (e.g. mywebsite.com)?

Have you already registered your domain? Have you already registered your domain? YES, I have registered my domain name. NO, I have not registered my domain name.

Where have you registered your domain (e.g. Namecheap)?

Is this a new website design or the redesign of a current website? Is this a new website design or the redesign of a current website? New Website Design Redesign of a Current Website

If this is a redesign, where is your website currently hosted?

How many pages do you think your website will require? An estimate is okay. How many pages do you think your website will require? An estimate is okay. 1 page (e.g. a landing page) 2-4 pages 5-10 pages More than 10 pages

How many pages do you think you will need?

Do you require e-commerce (online store) for your website? Do you require e-commerce (online store) for your website? YES, I will have an online store NO, I will not have an online store

What type of products will you sell? What type of products will you sell? Physical products or in-person services Digital products or services Both digital and physical

How many products or services will you sell? (An estimate is okay)

Do you have a brand logo? Do you have a brand logo? YES, I have a brand logo NO, I do not have a brand logo

Do you want DesignHoot to design a logo for your brand? Do you want DesignHoot to design a logo for your brand? YES NO MAYBE

Do you have brand-related images and/or other visuals? Do you have brand-related images and/or other visuals? YES, I have brand images and/or other visuals. NO, I do not have brand images and/or other visuals.

Please provide a brief description of your brand images and/or other visuals.

Do you have brand-specific content (e.g. specific copy about your organization for the website)? Do you have brand-specific content (e.g. specific copy about your organization for the website)? Yes, I have brand-specific content (e.g. written copy for website) NO, I don't have brand-specific content and would like help drafting copy.

Please provide a summary of the type of content you have for your website

Do you want to save 10% off your design costs by hosting with DesignHoot? Do you want to save 10% off your design costs by hosting with DesignHoot? YES, I want to save 10% and host my website with DesignHoot NO, I don't want to save 10%

Are you interested in a no fee and zero interest monthly payment plan for design costs? Are you interested in a no fee and zero interest monthly payment plan for design costs? YES, I would like to make monthly payments for design costs. I understand this requires a Standard or Premium hosting plan and design costs will be spread out over the first 12 months. NO, I prefer to pay design costs with a deposit and remainder when designs are complete.

Anything else you would like to share with us? (optional)