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Please complete this form below, so we can help you set up your free online 30 days trial

Title
First Name *
 		Last Name *
Company *
 		Email *
Work Address *
 		City *
 		State *
Zipcode/Postcode *
 		Country *
Work Phone Number *
 		Mobile Phone Number *
Work Fax Number *
Current web address, if any:

Online Business Goal *
Please number these in order of priority for your online business. this will aid in focusing your online business goals.
Capturing Leads for your Products/Services
Building a Customer Database for marketing purposes
Selling Products/Services Online
Capturing Bookings for your Events
Building a Community around your Business
Service your existing customers/provide "Member Only" content
Other
Please list below

Target Audience/Community
Who is your target audience or community?
Age *
Gender *
Male Female
Who is your competition?
Web address if there is any:

Image & Style
The visual metaphors, graphic design and color scheme of your web site will communicate volumes to the visitor about you and your business.

What IMAGE do you want to project? *
Traditional Formal Corporate Contemporary Casual
Personal Conservative Serious Expensive Cutting edge
Friendly Affordable







What STYLE do you want to communicate? *
Serene Classic High tech Soft Sensual
Festive Spiritual Elegant Frivolous Playful
Authoritative Fanciful Powerful Funky Fun
Historical Delicate Ethnic Prefessional Comforting/Caring
Flashy Mellow Energetic Hip Natural/Organic
Muted Romantic Down to earth






When would you like your web site to be launched? *
Have you registered a domain name? *
Yes No
If you have, what is it?
If, not would you require Solo Web to process the registration of your domain?
Yes No
List of possible domain name choices
Please list a few web sites that appeal to the same target audience or community, or that communicate an image or style that is similar to what you want.
Your chosen template ID: from our Template Shop
* indicates mandatory fields

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