Website Design Starter Package | Design Form Instructions: Please complete the form below to the best of your ability. Please complete this form ASAP to avoid any delays in your project. Please put (NA) for any areas that do not apply to you or that you are unsure of. Please put (Current Site) for any areas that you want us to copy the information from your current website to your new website we are creating. Company NameSingle Point of Contact NameFirstLastWho Will Be the Single Point of Contact from Your End for this Project? Using Multiple Points of Contact Must be Approved by Omaha Media Service Pros.AddressStreet AddressCity State / Province / RegionZIP CodePhone #EmailWhat (3) Colors Would You Like the Website Theme to be?Choose Up to (3) Colors, Typically These will Match Your LogoAttach Your LogoPlease Upload the Highest Quality Copy of Your Logo that You Have. If You Do Not Yet Have a Logo, Attach an Example You Like. Example Website(s) | Paste URL if Available Have 1-3 Example Websites You Want to Use for Your Website Design? List Them Here. What Products & Services Does Your Company Provide?Contact Name and Title to be on the WebsiteFirstLastTitleContact Telephone # to be on the WebsiteContact Address to be on the WebsiteStreet AddressCityPlease selectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificState / Province / RegionZIP CodeContact Email Address to be on the WebsiteBusiness HoursWhat business hours should be listed on the website? Weekdays, Weekends, Holidays and Emergencies etc. Text for the Home PageText for the About Us PageText for the Contact Us PageText for the Projects PagePhotos for the WebsiteUpload Up to (10) Photos to Be Places on the Website. Anything Else?Any Other Notes or Things We Need to Remember or Consider for this Project? Any Items You Want Omitted from Your New Website? SubmitThank you!We will contact you soon.