EmailMe Form - Town Web Design

State *

County - Alabama *

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County - West Virginia *

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Population *

Name of Your Municipality *

Your Name *

First Last

Your Email Address *

Your Position

Best Phone Number to Reach You *

### - ### - ####

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code

Do you currently have a website? *

Yes

No

Web Site Address

What do you like about your current website?

What do you not like about your site?

If you have an existing website, what sort of difficulties do you have with it? Or what would you change with so that it would be joyful to use and work with?

Why doesn't your municipality have a website yet?

Other Reason

Are you evaluating any other web design companies? *

Yes

No

What other companies are you considering working with?

What would you need to know about us or our service or pricing in order for the board to select us over any other company?

When is your next board/council meeting? *

MM / DD / YYYY

Would you like to schedule a demo? *

Yes

No

How did you hear about us? *

Is there anything else you'd like to tell us or mention before receiving a quote?