Customer Name

Phone Number

Email Address (Invoicing)

Billing Address

Business Name

Business Phone Number

Business Physical Address

ABN

Primary Email Address (Sales/Shown on site)

Domain Name (If already acquired or Preferred New Domain)

Additional Options to include/quote in proposal Additional Options to include/quote in proposal Google My Business Page ($280 Setup) Google G Suite Email Service ($112/user/yr) Google Ads

Your Budget or Agreed Package Value

Design Notes: Preferred colours/themes you would like to see. List any other websites you like the look of for inspiration purposes.

Comments/Notes

Confirmation Confirmation I confirm that I am responsible to make decisions on behalf of the above business.