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Name
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First
Last
Email
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Phone Number
What type of Website are you looking for?
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Personal
Church
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What Kind of website are you looking for?
How Complex will your website be?
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Simple
A bit complex
Very complex
I'm not sure
How many pages will you have?
*
1-10
11-30
30+
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Who will maintain and edit your site after initial setup?
*
Agape Web Host
I will
I'm not sure
Tell us all the details of your dream website. . .
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How soon would you like this?
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ASAP
Within 2 weeks
I'm Flexible
Within 6 months
Within a year
Year +
I'm not sure
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