Please feel free to contact me through this form if you wish to make use of my services.


Your Name (required)
Example: Joe Bloggs
Your Business
Example: La Posh Bistro.
Your Email (required)
Example: laposhbistro@email.com
Describe your business (required)
Example:

La Posh Bistro is an upper class restaurant located in Paris, South Africa. We serve local haute cuisine such as 'boere wors' and 'mielie pap'.
What would be the purpose of your website? (required)
Example:

La Posh Bistro would like an online presence to showcase our unique cuisine and would also like to allow bookings to occur via our website. We would also like to use our website to introduce our staff and would perhaps like to have a gallery of photos.
Do you have a color scheme and theme in mind for your website? Please describe if the answer is yes.
Example:

I would like my website to use Red, Black and Grey as the main colors. My theme would be similar to the menu of our restaurant. I will gladly email you a copy of said menu.
Please note that it is never advisable to use more than three colors on a website.
Do you have an existing corporate identity that you would like your website design to comply to?
 Yes No
Please select your currency (required)
Example: ZAR (R)
IF Other currency
Example: YEN
Budget
Example: Between R2500 and R4000
Please note that it is unlikely that projects with a budget of less than R2000 (roughly €200) will be considered.
How can I improve this query form?
Example:

I would like to be able to provide more detailed requirements for each section of my website.
Verify that you are human by retyping the following in the input provided below.
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