SECTION 1: Business OverviewBusiness/Organisation Name *🖊️ What is The name of your Business/OrganisationSelect your website's focus *Please select an optionInformationalEcommerce / Online StorePortfolioBooking / Appointment-basedMembership / SubscriptionBlog or MediaOther (Specify)What is the main focus of your business's websiteSpecify your niche *🖊️ Describe your nicheWhat kind of services do you offer? *🖊️ Short paragraph – Describe key offerings (e.g. general check-ups, therapy, prescriptions, wellness coaching)Business Type *Online-basedPhysical locationBothWhat is the main channel of your Business/OrganisationStreet Address *Apartment, suite, etcCityState/ProvinceZIP / Postal CodeCountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre & MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemenZambiaZimbabweService Coverage *LocalRegionalNationalInternationalWhat is the scope of your Business Location operationsBased on your service coverage list the Cities/States/Provinces/Countries of operation *If you state a region you cover but would like to exclude certain parts be sure to list exclusions, or if you are serving a particular radius from a designated locationSECTION 2: Branding & Visual IdentityDo you have a logo *Yes – UploadNo – Please design oneNo – I’ll provide one laterA brand symbol that represent your Business/OrganisationUpload Logo *Choose FileNo file chosenDelete uploaded fileHow will you provide one? *Existing Branding / Colour Scheme *Yes – Upload or describeNo – Choose from preset schemesNo – Create custom scheme for meColour Scheme Presets *Classic CorporateJet Black TechNatural HealthSunny StartupIndustrial GreyCool Blue MediaFeminine MinimalEco-TechExperimental VividDo you have a brand slogan or tagline? *YesNoNo - Make OneA short phrase that captures the essence or unique value proposition of a brand, product, or service.What is your brand slogan or tagline?A short phrase that captures the essence or unique value proposition of a brand, product, or service.Preferred Typography or Fonts?What kind of font would you like to represent your brandSECTION 3: Website EssentialsDo you already have a domain?Yes – Enter domain nameNo – Please help me register oneA domain is the unique name that identifies a website on the internet — it’s what users type into their browser to visit a site, like capital-iz.com.Enter domain name *A domain is the unique name that identifies a website on the internet — it’s what users type into their browser to visit a site, like capital-iz.com.Is your domain associated with a website that may need updating?Yes - refurbish/update itYes - But start from scratchNo - its a fresh domainIf your domain already as a website tied to it and you'd like us to refurbish or update itHosting ProviderA hosting provider is the service that "hosts" your website so people can access it online.For ease of operations - we ask that you share you add us as a client in your hosting provider account. *Yes, I agree with the privacy policy and terms and conditions.We'd like to get in touch and assist/confirm with this process *Sure, please help meSure, please help meI already know how to do itName *Email Address *Phone *Choose a hosting package relavant to your needs *Hosting Tier 1 – Lightspeed DirectAdminHosting Tier 1 – Lightspeed DirectAdminHosting Tier 2 – Lightspeed DirectAdminHosting Tier 3 – Lightspeed DirectAdminHosting Tier 4 – Lightspeed DirectAdminHosting Tier 1 – Lightspeed cPanelHosting Tier 2 – Lightspeed cPanelHosting Tier 3 – Lightspeed cPanelHosting Tier 4 – Lightspeed cPanelBasic Hosting Tier 1Basic Hosting Tier 2Basic Hosting Tier 3Basic Hosting Tier 4Different Packages accomade various speeds, resources allocated to your domain and perfomance factorsHosting Tier 1 – Lightspeed DirectAdminPrice: R159,99 / MonthHosting Tier 1 is an affordable, entry-level web hosting plan perfect for individuals, startups, or small businesses launching a single website. It includes generous storage, email capabilities, and basic database support — all hosted on fast SSD storage to ensure responsive performance. Included Features: 💽 20GB SSD Storage for faster loading speeds 🌐 Host 1 Domain 🗂️ 100 Subdomains for organising sections of your site 📧 25 Email Accounts for professional communication 🔁 1 FTP Account for direct file uploads 🛢️ 5 MySQL Databases to support your website’s backend or CMS Ideal for portfolio sites, landing pages, or small business web presences with minimal resource demands and room to scale when needed.Hosting Tier 2 - Lightspeed DirectAdminPrice: R249,99 / MonthHosting Tier 2 is a powerful hosting package for businesses ready to scale. Designed for performance and flexibility, this plan supports two full domains — ideal for operating multiple websites or maintaining separate brand presences — and expands resource limits for larger teams and higher traffic demands. Included Features: 💽 40GB SSD Storage for blazing-fast website loading 🌐 Host 2 Domains — run two websites on one hosting plan 🗂️ 100 Subdomains for structured web content 📧 100 Email Accounts — ideal for growing teams 🔁 1 FTP Account for secure file management 🛢️ 50 MySQL Databases to support multiple CMS installs, apps, or client sites This plan is perfect for small agencies, freelancers managing multiple clients, or growing businesses requiring greater hosting capacity and email management.Hosting Tier 3 – Lightspeed DirectAdminPrice: R399,99 / Month Hosting Tier 3 is built for scalability, speed, and multi-site deployment. With generous resources and unlimited flexibility, it's ideal for businesses running multiple brands, agencies managing client portfolios, or any operation requiring robust infrastructure. Included Features: 💽 100GB SSD Storage for high-performance loading speeds and large media libraries 🌐 Host 3 Domains — manage three independent websites under one plan 🗂️ 500 Subdomains for deep site architecture or micro-sites 📧 Unlimited Email Accounts — support growing teams without restriction 🔁 5 FTP Accounts for secure, multi-user file access 🛢️ Unlimited MySQL Databases for hosting various apps, CMS platforms, or clients This tier is engineered to handle high traffic, complex site needs, and collaborative teams with ease.Hosting Tier 4 – Lightspeed DirectAdminPrice: R659,99 / Month Hosting Tier 4 is built for scale-heavy operations and growing digital enterprises that demand uninterrupted performance and unlimited flexibility. This is the perfect choice for agencies, tech startups, e-commerce platforms, or portfolio businesses that manage multiple large websites. Included Features: 💽 200GB SSD Storage — lightning-fast access for huge media libraries, databases, and backups 🌐 Host 5 Domains — manage five fully independent websites on a single account 🗂️ 1000 Subdomains — structure micro-sites, testing environments, or deep nested content 📧 Unlimited Email Accounts for unlimited team collaboration 🔁 10 FTP Accounts for secure, controlled access by multiple developers or collaborators 🛢️ Unlimited MySQL Databases — ideal for SaaS applications, multiple CMS platforms, or client setups This package is tailored for users who want complete freedom, performance, and professional-grade web infrastructure without limits.Hosting Tier 1 – Lightspeed cPanelPrice: R189,99 / Month Hosting Tier 1 is an affordable, entry-level web hosting plan perfect for individuals, startups, or small businesses launching a single website. It includes generous storage, email capabilities, and basic database support — all hosted on fast SSD storage to ensure responsive performance. Included Features: 💽 20GB SSD Storage for faster loading speeds 🌐 Host 1 Domain 🗂️ 100 Subdomains for organising sections of your site 📧 25 Email Accounts for professional communication 🔁 1 FTP Account for direct file uploads 🛢️ 5 MySQL Databases to support your website’s backend or CMS Ideal for portfolio sites, landing pages, or small business web presences with minimal resource demands and room to scale when needed.Hosting Tier 2 – Lightspeed cPanelPrice: R279,99 / Month Hosting Tier 2 is a powerful hosting package for businesses ready to scale. Designed for performance and flexibility, this plan supports two full domains — ideal for operating multiple websites or maintaining separate brand presences — and expands resource limits for larger teams and higher traffic demands. Included Features: 💽 40GB SSD Storage for blazing-fast website loading 🌐 Host 2 Domains — run two websites on one hosting plan 🗂️ 100 Subdomains for structured web content 📧 100 Email Accounts — ideal for growing teams 🔁 1 FTP Account for secure file management 🛢️ 50 MySQL Databases to support multiple CMS installs, apps, or client sites This plan is perfect for small agencies, freelancers managing multiple clients, or growing businesses requiring greater hosting capacity and email management.Hosting Tier 3 – Lightspeed cPanelPrice: R429,99 / Month Hosting Tier 3 is built for scalability, speed, and multi-site deployment. With generous resources and unlimited flexibility, it's ideal for businesses running multiple brands, agencies managing client portfolios, or any operation requiring robust infrastructure. Included Features: 💽 100GB SSD Storage for high-performance loading speeds and large media libraries 🌐 Host 3 Domains — manage three independent websites under one plan 🗂️ 500 Subdomains for deep site architecture or micro-sites 📧 Unlimited Email Accounts — support growing teams without restriction 🔁 5 FTP Accounts for secure, multi-user file access 🛢️ Unlimited MySQL Databases for hosting various apps, CMS platforms, or clients This tier is engineered to handle high traffic, complex site needs, and collaborative teams with ease.Hosting Tier 4 – Lightspeed cPanelPrice: R699,99 / Month Hosting Tier 4 is built for scale-heavy operations and growing digital enterprises that demand uninterrupted performance and unlimited flexibility. This is the perfect choice for agencies, tech startups, e-commerce platforms, or portfolio businesses that manage multiple large websites. Included Features: 💽 200GB SSD Storage — lightning-fast access for huge media libraries, databases, and backups 🌐 Host 5 Domains — manage five fully independent websites on a single account 🗂️ 1000 Subdomains — structure micro-sites, testing environments, or deep nested content 📧 Unlimited Email Accounts for unlimited team collaboration 🔁 10 FTP Accounts for secure, controlled access by multiple developers or collaborators 🛢️ Unlimited MySQL Databases — ideal for SaaS applications, multiple CMS platforms, or client setups This package is tailored for users who want complete freedom, performance, and professional-grade web infrastructure without limits.Basic Hosting Tier 1Price: R129,99 / Month Hosting Starter is the perfect entry-level package for entrepreneurs, small businesses, or personal projects ready to go live. It comes with everything needed to build, launch, and manage a professional website—without breaking the bank. Included Features: 🌍 Free .co.za Domain — secure your South African online identity at no extra cost 🧱 Free Sitebuilder — drag-and-drop interface for effortless website creation 💾 20GB SSD Storage — fast and reliable for media, content, and backups 🖥️ 2 Websites — host two separate sites with a single plan 📧 25 Email Accounts — professional email addresses for you and your team 🌐 5 Subdomains — great for blogs, landing pages, or alternate site areas 🛢️ 5 MySQL Databases — power your CMS, apps, or plugins 🔁 1 FTP Account — secure access for uploading and managing files 📶 Unlimited Bandwidth — handle traffic without limits or throttling 🔒 Free Let's Encrypt SSL — keep your site secure and trusted 🧬 Free Daily Backups — peace of mind with automatic protection 🧭 DirectAdmin Control Panel — clean, intuitive interface for full site management This plan offers everything essential to build a professional online presence, bundled into one simple and affordable package. Basic Hosting Tier 2Price: R159,99 / Month Basic Hosting Tier 2 is designed for small to medium-sized businesses that need more space, power, and flexibility while still keeping things simple. Whether you're running multiple websites or need more control over your online infrastructure, this package offers a strong foundation without the complexity of enterprise hosting. Included Features: 🌍 Free .co.za Domain — secure your brand presence online at no cost 🧱 Free Sitebuilder — build your site with intuitive drag-and-drop tools 💾 40GB SSD Storage — fast, reliable storage for websites, media, and databases 🖥️ 5 Websites — host multiple projects or divisions under one plan 📧 100 Email Accounts — full suite of professional email addresses 🌐 100 Subdomains — organise content across departments or campaigns 🛢️ 50 MySQL Databases — handle apps, CMS platforms, and data-heavy plugins 🔁 1 FTP Account — manage your files securely and efficiently 📶 Unlimited Bandwidth — traffic freedom without restrictions 🔒 Free Let's Encrypt SSL — trusted site security for all domains 🧬 Free Daily Backups — automatic data protection 🧭 DirectAdmin Control Panel — simple dashboard to manage everything easily Basic Hosting Tier 2 strikes the perfect balance between affordability and capability, giving you professional-grade hosting for growing needs.Basic Hosting Tier 3Price: R289,99 / Month Basic Hosting Tier 3 is built for entrepreneurs, digital agencies, and growing businesses that demand powerful, scalable, and secure hosting. Whether you're managing multiple websites, large volumes of email, or complex database-driven platforms — this package gives you the professional edge with no bottlenecks. Included Features: 🀀𐀀𐀀𐌍𘀼𬱴𬡯ng data-end="501" data-start="479">Free .co.za Domain — lock in your digital presence with zero domain cost 🧱 Free Sitebuilder — intuitive tools to build stunning websites fast 💾 100GB SSD Storage — high-speed capacity for intensive web applications 🖥️ 10 Websites — host diverse brands, projects, or client accounts 📧 Unlimited Email Accounts — scale your team without worrying about inbox limits 🌐 500 Subdomains — organise, localise, and segment with precision 🛢️ Unlimited MySQL Databases — manage multiple apps and CMS instances without constraints 🔁 5 FTP Accounts — delegate access to teams or departments securely 📶 Unlimited Bandwidth — support high-traffic sites and downloads with zero restriction 🔒 Free Let's Encrypt SSL — ensure trust and encryption across all domains 🧬 Free Daily Backups — safeguard your data with automatic protection 🧭 DirectAdmin Control Panel — streamlined control for advanced hosting management Whether you're scaling your business or offering client hosting as a service, Basic Hosting Tier 3 provides the infrastructure you need to grow without limits.Basic Hosting Tier 4Price: R399,99 / Month Basic Hosting Tier 3 is the ultimate web hosting solution for large-scale businesses, high-traffic operations, or agencies managing multiple clients. Built with speed, scale, and reliability in mind, this package gives you everything you need to run sophisticated web ecosystems from a single hosting plan. Included Features: 🌍 Free .co.za Domain — establish your brand’s home online with zero domain cost 🧱 Free Sitebuilder — craft professional-grade websites with intuitive drag-and-drop tools 💾 200GB SSD Storage — lightning-fast access for media-heavy or data-rich websites 🖥️ 20 Websites — support a full network of brand sites, landing pages, or client portfolios 📧 Unlimited Email Accounts — accommodate large teams or client-facing communications 🌐 1000 Subdomains — precise control for multi-region, multi-service setups 🛢️ Unlimited MySQL Databases — ideal for complex applications or multiple CMS installations 🔁 10 FTP Accounts — manage access across developers, departments, or clients 📶 Unlimited Bandwidth — scale without limits, no matter the traffic volume 🔒 Free Let's Encrypt SSL — full HTTPS encryption for all sites 🧬 Free Daily Backups — automatic recovery support, every day 🧭 DirectAdmin Control Panel — manage all your hosting tools with ease and control Whether you're running a digital empire, servicing a roster of clients, or launching an internal platform — Basic Hosting Tier 3 provides unmatched resources and peace of mind.Pre-selected Web PagesHomeAboutServicesContactFAQBlog / News / AnnouncementsBooking PageTestimonialsLegal Pages (T&Cs, Privacy Policy, Cookie Policy)These are the Basic web pages typical in a website, however you are welcome to remove those you don't needDesclaimer⚠️ These legal pages are placeholders. Please consult a legal expert to ensure full compliance.SECTION 4: Website FeaturesDesired Website FeaturesAppointment BookingNew Patient Intake FormsVideo Consultation (Zoom/Google Meet)Online Payments (PayFast, PayPal, Stripe, etc.)Services Grid with FiltersEmployee User ProfilesEmbedded Google MapsTestimonials or Case StudiesNewsletter SubscriptionWhatsApp / Call Now ButtonSEO-Ready SetupBlog / Articles SectionLive Chat IntegrationContact FormAnalytics & Traffic TrackingPixel SetupE-commerce / Online Store (if applicable)Business Records Upload PortalFeaturesSECTION 5: Content & DesignText Content AvailabilityI already have all the textI’ll supply it laterI need you to write content for meMedia Content AvailabilityI already have all the mediaI’ll supply it laterI need you to make content for meHow shall you supply it?Mircosoft Word/Google DocsWindows Text FilesLink to access fileHow will you supply your website content?Upload Media AssetsLogosStaff HeadshotsFacility PhotosService Flyers / BrochuresCertificates or AccreditationsProduct Gallery (if selling products)Preferred Upload Method for MediaUpload hereGoogle DriveDropboxOneDriveEmailI need you to create these assetsUpload your media assets *Choose FileNo file chosenDelete uploaded fileInspirational WebsitesWebsite links that inspire youInspirational WebsitesChoose FileNo file chosenDelete uploaded fileWebsite links that inspire youSECTION 6: Timeline, Budget & ExtrasDesired Go-Live Timeline *3 weeks minimum (Rush Job)4–6 weeksFlexibleHow soon do you expect completion?Essential Ongoing Services Required? *Web Management & MaintenanceContent UploadsWebsite UpdatesSEO OptimisationSocial Media IntegrationEmailCyber SecurityNone of the aboveApplySave as Draft