Client Questionnaire

Full Name *

Email *

Phone *

Website (if you currently have one)

Instagram (if you currently have one)

Request Details:

Type of Service Requested: *

Brand Intensive (BETA: $960)

WEB INTENSIVE (BETA: $1440)

Other

If other please specify:

Are you going to need a payment plan?

YES

Clients Needs And Goals:

Preferred Launch Date:

What is your business name and what does your business do? *

How involved do you want to be in your design project? *

How did you hear about me?

By submitting this form, I agree to receive marketing communications from Laqash Studio.