LucyHost, Your Hosting Partner

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May we contact you ?

What contact method do you prefer ?
Your E-Mail address

The Basics

Do you need a re-design or a new website ?
What audience are you targeting ?
Target audience are people who will be interested in the information in your website - eg : Youths, Mothers, Businesses
What is the purpose of your site?


Your Business

What is the nature of the business ? How long have you been in business?
How do you currently market this business /product / idea ?
Do you have a logo ? Do you need a new logo design or redesign your exising logo ?

Time & Budget

What is the desired time frame for development of this Web site? Date of completion? When would you like development to start?

Do you have existing material for your product/idea in the form of brochures, pamphlets, CDs, video, flyers, etc? If yes please explain:

What is your budget ?


Are you going to be selling services or goods from your site? Yes No
If so, howmany products ?
Do your products have attributes? (small, medium, large - black, yellow, white) Yes No

Database Interactivity (CMS)

If your project requires any interactivity that will need a back end database, please descibe your needs specifically as possible below. Exampes of database functionality are log in areas where users can populate information and record storage/manipulation/retrieval.

Explain the type of functionality you'll need. Be as detailed as possible

Domain / URL / Hosting Information

Do you have a domain registered? If so, what is it and how long has it been online?

If not, do you need us to register one for you?
What domain name have you chosen?
Please give us 3 options
Do you need Web hosting?

Contact Information

Note : this will be the only person we will be dealing with directly for the purpose of developing this website. Please choose one person out of your group or company to be this point of contact
Company Name  
City, State, Zip / Pin  , ,

How Did you find us ?  
redhat linux, windows server system,, microsoft sql server, mysql, php, we accept credit cards, master cards, visa, american express, icici, paypal, payment options