Website Design Questionnaire Form

Website Design Questionnaire

Understanding your needs and goals allows us to thoughtfully develop a website that will work in tandem with your online marketing strategy. Don’t have an online strategy? We can talk about that too.

Contact Support

Contact our support department by either filling out this form or emailing [email protected]

Company*
Name*
First Last
Email*
Phone*
In case we need to contact you for more details.
Website*

Company website, or link to exact page with issue.
Subject*

(ex. Website Error)
Priority*
Low: can be done in the next few days
Medium: 24 hour turnaround
High: Needs to be done by end of day
RED ALERT!: You should probably call us

While we can not guarantee your ticket will be completed in the time frame you have selected, we will do our best to accommodate your request. Your ticket will be reviewed and scheduled based on needs, urgency and our current workload.
Requests marked as High, received after 2 pm, may be pushed to the next day depending on current workload.
Please describe your issue or request in detail.*
Also, if you know who your regular developer is, you can request them here and we will do our best to accommodate based on their current queue.
If you are experiencing an error, please include steps to replicate as well as your device and browser. If you are using Internet Explorer, please include the version.
Relevant documents
Upload any file needed to complete your request such as images, pdf, etc.
If you are getting an error message, please include a screenshot.
Drop files here or

Max. file size: 512 MB.
Terms and Conditions
By clicking I Agree below and submitting this form you indicate that you agree to the following:

1) If you have an active, ongoing retainer with Hiilite, your request will be taken out of this month's budget. If your request exceeds your allotted hours, you will be billed at our hourly rate of $110/hour.

2) If you do not have an ongoing retainer, your request will be billed at our hourly rate of $110/hour.

3) If your payment information is on file, you will be billed automatically.

4) Any request that would exceed $500 will be quoted and require sign off before work begins.
Terms and Conditions*
- I Agree
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