Website Development Requirement Form

Home - Website Development requirement

- Step 1 of 3

Name *

First

Last

Type of Website *

Personal
Business

Company Name / Firm Name *

Enter NA if website required for Personal etc.

GST Registration Details *

Enter NA if not registered

Email *

Mobile Numbers (WhatsApp) *

Format 919876543210 should be WhatsApp without + and including country code without any spaces activated.

WhatsApp Consent Confirmation *

Yes I confirm
No I don't confirm

This is to confirm that you agree to receive updates on WhatsApp from Changia Solutions LLP.

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Do you have a Domain?

Enter your existing Website URL *

Enter your required Domains *

List some sample domain names which you want to register
Multiple choice options are required as some domains are not available always.
One domain on each line.

Select type of website required *
Choose One

Mention the details *

Payment Gateway?
Do you need Payment Gateway
No I don't need Payment Gateway

Nos. of Products? *
1-100
101-500
501-1000
How many products you plan to publish?

Required Pages (Select which ever is applicable) *
Home
Contact Us
About Us
Blog Page
Policies Pages (T&C, Privacy, Refund etc.)
Shopping Cart (Will include Cart, Account, Order etc. pages)
Any Other (Please Mention)
Note: Home, Contact Us, About Us are defualt

Contact Us Page *
Just Display your contact details like Phone numbers, Emails etc.
Display as per above point & additionally have a form embedded which will send 2 emails one to you and other to submitter.

Other Pages *
If anything missed above please mention it here

Any other requirement please provide detailed information.

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Website Development requirement

Website Development Requirement Form

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