Your name

Your email

Current website address (domain name)

Please list any other sites that you like the look of and explain what you like about them. Examples might be you like the colors used, the general layout, the fonts used, functionality, etc.

Do you plan to say with your current host or move to a new host?
Stay with current hostMove to new host

Is there anything you want to change, add or exclude that is on your current site from the new site? For example, no longer need "X" page or would like a contact form on "X" page, etc. (optional)

Additional notes or comments (optional)

We will be setting your current site up in a development area, but once the new site is approved, we will need to either access your current host to update the files or point your domain name to a new host. Please make sure you have access to these items so we can make a quick and seamless transition.