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- You have an issue with your current website or software?
- Need to upgrade your current website?
Or looking for ideas for your new business website!
Host Milwaukee is here to help.
Please fill out this simple form below for us to understand your requirements.
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Step
1
of 3
Select Options (are you a new customer?)
*
New customer
Existing customer
Select Options (what are you looking for?)
*
Fix my website (website issue)
Redesign or imporve my current website
Interested in a new website
Website Address (URL, link)
Web Page Address (URL, link for page that has issue)
What is the problem, or issue on the website or webpage?
Next
Your Name
*
Business Name
*
Email Address
*
Phone Number
*
Is it ok to call you if we have any questions or need more information about your website issue?
Best time to call
Date
Time
Next
Mention the name of the platform used to create your website? Leave blank if you are not sure
e.g., HTML, WordPress, Four Square, WIX, Godaddy, etc.,
Do you have website admin panel access for your website?
Yes
No
Do you have website hosting Control Panel (cPanel) login information?
Yes
No
We usually need to login into the admin or control panel to troubleshoot website issues
Submit
NEW YEAR
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Step
1
of 3
Full Name
What is your web design requirement?
Create a new website
Major changes to my website
Minor changes to my website
Other
Next
Checkboxes
First Choice
Second Choice
Third Choice
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What industry do you operate in?
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