Please fill out the form below with as much information as possible to help with the set up of your website. Website Development Client Information Date MM slash DD slash YYYY Name(Required) First Last Billing Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Email(Required) Do you already own a Domain Name for your site?(Required) No Yes Website(Required) First Choice for Domain Name ( ex. www.mydomain.com)(Required)Second Choice for Domain Name ( ex. www.mydomain.com)Third Choice for Domain Name ( ex. www.mydomain.com)How Many Email Addresses will you need set up?1234More than 4First Email Address (ex. john@mydomain.com)This is will be the Primary Admin Email Address tied to your accounts. If you don’t have your domain name yet, write the desired email addresses in the format john@mydomain.comSecond Email Address (ex. john@mydomain.com)If you don’t have your domain name yet, write the desired email addresses in the format john@mydomain.comThird Email Address (ex. john@mydomain.com)If you don’t have your domain name yet, write the desired email addresses in the format john@mydomain.comForth Email Address (ex. john@mydomain.com)If you don’t have your domain name yet, write the desired email addresses in the format john@mydomain.comPreferred Website Log In User Name(Required)Preferred Login PasswordShould be a minimum of 8 characters and contain at least one number, one Capital letter, and optionally, one special character.Social Media Acccounts Facebook YouTube Instagram WhatsApp TikTok WeChat Snapchat X LinkedIn Pinterest Reddit Threads Discord BlueSky Others Check each social media account you want your website to link to.Facebook URLYouTube URLInstagram URLWhatsApp URLTikTok URLWeChat URLSnapchat URLX (formally Twitter) URLLinkedIn URLPinterest URLReddit URLThreads URLDiscord URLBlueSky URLList Others URL(s)Separate multiple entries with a commaWill you sell products on your site? (e-Commerce Set Up) No Yes What Types Of Products Will You Sell Simple Physical Product Complex Product with multiple options, sizes, colors, etc Downloads – Virtual Digital Files (i.e. STL’s, PDF’s, Audio Files, Graphics etc.) Select all that applyWho Is Your Preferred Payment GatewayDon't Know YetPayPal PaymentsStripeSquareAuthorize.netMollie PaymentsElavon Payment GatewayIntuit Payments GatewayOtherOther Preferred Payment GatewayWhat Shipping Services Will You Use? USPS FedEx UPS Check all that applyShipping Zones Domestic (US Only) International Where will you ship to? Select all that apply.Product CatagoriesList your primary product categories. (i.e. Shirts, Pants, Shoes, Men’s, Women’s etc) Separated answers with a comma.Email Marketing No Yes Will you want to integrate an email marketing service such as MailChimp, MailPoet, or AWeber?