Client Intake — Prizmek | Web Design & Hosting

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Business Information

Business name *

Industry / type of business

Contact person *

Phone number *

Email address *

Business address / location

Existing website (if any)

Social media handles (if any)

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About Your Business

Business description *

Mission / tagline (optional)

Years in business

Target audience

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Website Plan & Goals

Selected hosting plan *

⚡ Starter — $30/mo 🔥 Business — $60/mo 👑 Premium — $100/mo

Main goal of your website

Any specific features needed?

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Design Preferences

Do you have a logo? *

Yes, I have one No, I need one designed I have a rough idea

📎 If you have a logo, send it to info@prizmek.com or WhatsApp +1 (242) 636-3797. Preferred formats: PNG or SVG with transparent background.

Brand colors (if you have them)

Overall vibe / style

Reference websites (websites whose design you like)

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Content & Media

Do you have photos / images for your site?

Yes, I'll provide them Partially — need some sourced No — use stock images

📸 Send images to info@prizmek.com or WhatsApp. Include team photos, product shots, or anything you want displayed.

Services / products to list on the site

Testimonials / reviews (optional)

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Domain & Technical

Do you have a domain name?

Yes — I own one No — I need one Not sure

Preferred domain name (if you don't have one)

Do you need a business email?

Yes No, I have one Not sure

e.g. info@yourbusiness.com — included in Business & Premium plans

Do you need online payments on your site?

Yes No Maybe later

Any other integrations needed?

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Timeline & Notes

When do you need the site completed?

ASAP Within 2 weeks Within a month No rush

Anything else we should know?

Let's Build Your Website.

✓ Submission Received!