Your Information:
First Name*:

Last Name*:

Email Address*: (your main email for communication)

Payment Email*: (Your payment email address such as PayPal - for identification purposes only)

Transaction ID/Order ID*: (Please enter your transaction ID (paypal) or order ID (2CO, ClickBank). We need this information to track your record.)

Site Information:
Produt/Project Name*: (What's the name of this product or what do you want to call this project?)

Domain name: (Optional. Domain name you want to use on the product. Leave it blank, if you don't want to use the domain name on the design.)

Title*: (Required. Main Title. It should be short and powerful. You can use the product/project name for the main title.)

Headline 1: (Your most important headline. It comes below the title. Must not be too long.)

Headline 2: (Optional. It can't be used if too long.)

Pretext: (Optional. Leader texts before the title, such as author name)

Short description of Your Site: (So we can brainstorm for the design concept)

Is this design for your own use or for resell? (You may need extended license if it's for resell.)
My Own Use | For resell/PLR

Design Information:
Size of the Header:
Width: x Height:
Main Color of Your Site: (If you are not sure, use the color tool.)

Matching Secondary Color for Your Site: (You can use this color tool to get a matching color scheme.)

Background Color:

Number of Columms:
1 Column 2 Columns - Menu on Left Side 2 Columns - Menu on RIGHT side 3 Columns (If you are not sure, you can just select 1 column. But we recommend you select the column numbers now, so it can be considered in the designing process.)

Would you like to use borders? Yes | No
If yes, what type? Solid line | Drop Shadow || Right angle corner | Round corner

Do you have a sample site you'd like us to look at?

What do you like about this design (For example, color, layout, fonts, images, backgrounds, etc?)

Special Instructions/Comments: