Ecommerce Website Client Questionnaire Ecommerce Website Client Questionnaire If you are human, leave this field blank. Name * First Last * Last Email * Address * Address Line 2 City * State * AL AK AR AZ CA CO CT DE DC FL GA HI ID IL IN IA KS KY LA ME MH MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY Postal Code Country * Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Cook Islands Costa Rica Côte d'Ivoire Croatia (Hrvatska) Cuba Cyprus Czech Republic Congo (DRC) Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Islas Malvinas) Faroe Islands Fiji Islands Finland France French Guiana French Polynesia French Southern and Antarctic Lands Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong SAR Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao SAR Macedonia, Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Yemen Zambia Zimbabwe Best Contact Number Your Domain Do You Have A Domain ? * Yes No If Yes What Is Your Current Domain Name List The Domain Name You Have Or Would Like To Have The Login Url You Have Your Domain Registrar (godaddy.com, register.com,ect.) Domain Registrar Login Information (user/password) If No What Is Your Desired Domain ? Additional Domain Extentions .com .net .org .biz .co .cc .us .tv .info .edu Other If Other List Here Your Business Information Business Name Business Address Main Business Number Main Business Fax Business Email Address Services Offered Special Promotional offers: Facebook address (if you have one) Twitter address (if you have one) Google Plus address (if you have one) Linked In Address (if you have one) You Tube Address (if you have one) Your Website Information Name Of The Framework You Like Best From Your Welcome Letter if other put other and url of what you like best List the Additional Email Accounts You Want upload a txt or word doc for the content on your Home Page Uploading Files. Please Wait. Drop a file here or click to upload Choose File Maximum upload size: 1.54MB upload a txt or word doc for the content on your About Page Drop a file here or click to upload Choose File Maximum upload size: 1.54MB upload a txt or word doc for the content on your Services Page Drop a file here or click to upload Choose File Maximum upload size: 1.54MB upload a txt or word doc for the content on your F.A.Q. Page Drop a file here or click to upload Choose File Maximum upload size: 1.54MB Upload Your Current Logo Drop a file here or click to upload Choose File Maximum upload size: 1.54MB Or Link To Your Logo Check Here To Have A Logo Created For You Create Me A Custom Logo upload a txt or word doc for additional Contact Page Information Drop a file here or click to upload Choose File Maximum upload size: 1.54MB Additional Files Or Images Drop a file here or click to upload Choose File Maximum upload size: 1.54MB Submit