Premium Plan Questionnaire Please completed the questionnaire below to receive your FREE wireframe PrefixMr.Mrs.Ms.Mx.MissDr.Prof.First Name *Last Name *Company Name (optional)Email Address *Contact Number *Street Address *Apartment, suite, etc (optional)City *State/Province *ZIP / Postal Code *Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweSelect 4 (four) pages that you require: *HomeAboutContactServicesProductsPortfolioPricingOtherPage Name *If you selected the "Other" option above, please add the page nameDo you have your own images or do you require stock images? *I have my own images I'd like added to the websiteI require stock images (there is no additional charges)What is the purpose of your website? *Select an optionGenerate requests for services or productsEducationalInformationalShowcase your portfolioCapture leadsOtherWhat is the purpose of your website? *If you selected the "Other" option above, please complete this field.What main action do you want your website visitor to take when they land on your home page? *Select an optionContact your company for more informationEnquire about your service or productComplete a formBrowse your portfolioOtherWhat main action do you want your website visitor to take when they land on your home page? *If you selected the "Other" option above, please complete this field.Please briefly describe what you company does and who your target market is: *Please list any information you want to provide here (optional):Important Notice:You have selected the Premium package for R899.00 per year, as well as web hosting and maintenance services for R1,050.00 per month. Wireframe I will prepare a wireframe and send this to you via email within 48 hours for your approval. Due to the special price I am currently running, you will have 3 business days to approve the wireframe, sign the contract and make payment of the amount due. Therefore, please ensure that you put time aside to go through the wireframe as soon as possible so that you have sufficient time to sign the contract and attend to payment. Should you fail to abide by the abovementioned, you will lose your spot for this current special, and therefore may lose the existing special price. I will be increasing the special price as soon as I have 10 sales of the Business Package. Domain Registration and Web Hosting If you approve the wireframe and I have received the signed contract and the amount due has been reflected in my account, I will request you to select a domain name and see if it is available to be registered. I will then proceed to register your domain name and set up your web hosting account. Updates & Security I will ensure that the WordPress core, themes and plugins remain up to date and that your website is free from malware and hacks. This will be done on a weekly basis. Website Design Style Changes Should you require any changes to the style of your website, or need any content updates or new content added, this can be submitted via email as soon as the contract has been signed and payment has been reflected in my account. Please note that all requests in respect of style changes, amending and adding of new content must be put in writing. Please take note of the following: Amendments to website content - limited to 30 minutes per month. Adding new website content - limited to 60 minutes per month. Style changes to website - limited to 60 minutes per month. Should more time be required to amend content, add new content or implement any style changes, I will advise you via email and will send you a quote for your approval, before commencing with any work. Logo, Images and Content Please note that you will be required to furnish the following to me when you submit the signed contract and proof of payment: Your logo and brand colours. Your content for the four pages. Your images you want to use on the website (I also can provide free stock images for the website). Should you fail to provide the abovementioned in a timeous manner, this will delay your website going live, and I will not be held responsible for any delays. Please also take note that I have a strict no-refund policy. For more info please click on the terms and conditions link below.Consent *By checking this box, I agree with the above notice, as well as the terms and conditions.Get A Free Wireframe