<p>Your Name (required)<br />
    [text* your-name] </p>

<p>Your Email (required)<br />
    [email* your-email] </p>

<p>Your Mobile Number (required)<br />
    [tel* your-mobile]</p>

<p>Your Company/Organization (required)<br />
    [text* your-company] </p>

<h3>Purpose</h3>

<p>Is your website primarily for information only or for marketing purposes?<br />
    [text your-purpose] </p>

<p>What is your immediate need at the moment?<br />
    [text your-need] </p>

<p>What are your challenges now in Internet marketing?<br />
    [text your-challenges] </p>

<h3>Scope of Work</h3>

<p>Are we constructing your website from scratch?<br />
    [text your-construction] </p>

<p>Do you already have a domain name? i.e. domainname.com <br />
    [text your-domain] </p>

<p>Are you giving us a free hand to create a website that is fit for you based on our extensive knowledge in this field?<br />
    [text your-freehand] </p>

<p>Are you providing graphics materials for the website?<br />
    [text your-graphics] </p>

<p>Are you providing us with text contents?<br />
    [text your-texts] </p>

<p>Are you asking us to make a website that you can control on your own?<br />
    [text your-cms] </p>

<p>After the work is done, are you getting us as consultant on a retainer's basis?<br />
    [text your-retainer] </p>

<p>How much retainer's fee are you willing to pay monthly?<br />
    [text your-retainersfee] </p>

<p>What is your budget range for this kind of project?<br />
    [text your-budget] </p>

<p>When would you need this project completed?<br />
    [text your-deadline] </p>

<h3>Website Details</h3>

<p>Would you like a responsive website? It means the website adjusts depending on the device being used.<br />
    [text your-responsive] </p>

<p>Would you like it to appear on Google search result page?<br />
    [text your-googlesearch] </p>

<p>Would you like it to be socially connected?<br />
    [text your-social] </p>

<p>Would you like to install a blog in your website?<br />
    [text your-blog] </p>

<p>Would you like the website to be shareable?<br />
    [text your-shareable] </p>

<p>Do you have someone to help maintain the website?<br />
    [text your-maintain] </p>

<p>Would you like us to train your team to handle the website?<br />
    [text your-train] </p>

<h3>Competition</h3>

<p>Who are you competing with?<br />
    [text your-competition] </p>

<p>How does their presence affect your business?<br />
    [text your-effect] </p>

<p>Would you know their websites and social media accounts?<br />
    [text your-competitors] </p>

<h3>Other instructions</h3>

<p>Your Message<br />
    [textarea your-message] </p>

<p>[submit "Send"]</p>
[your-subject]
[your-name] <inquiry@lloydluna.com>
From: [your-name] <[your-email]>
Subject: [your-subject]

Mobile: [your-mobile]
Company: [your-company]

Purpose: [your-purpose]
Need: [your-need]
Challenges: [your-challenges]

Scope of Work

Website Construction: [your-construction]
Domain Name: [your-domain]
Freehand: [your-freehand]
Graphics Provided: [your-graphics]
Text Contents: [your-texts]
CMS: [your-cms]
Retainer: [your-retainer]
How much: [your-retainersfee]

Budget: [your-budget]

Deadline: [your-deadline]

Other details:

Responsive: [your-responsive]
Google: [your-googlesearch]
Social: [your-social]
Blog: [your-blog]
Shareable: [your-shareable]
In-house Maintenance: [your-maintain]
Training: [your-train]

Competition: [your-competition]
Effect: [your-effect]
Competitors accounts: [your-competitors]


Message Body:
[your-message]

--
This e-mail is for Internet Marketing Consulting.
lloydluna@gmail.com
Reply-To: [your-email]




[your-subject]
The Best Filipino Motivational Speaker in Manila, Philippines, Asia | Inspirational Corporate Trainer Manila, Malaysia, Vietnam, Brunei, Thailand, South Korea | Sales Keynote Speaker | Personal Branding | Internet Marketing Expert Consultant <wordpress@lloydluna.com>
Message Body:
[your-message]

--
This e-mail was sent from a contact form on The Best Filipino Motivational Speaker in Manila, Philippines, Asia | Inspirational Corporate Trainer Manila, Malaysia, Vietnam, Brunei, Thailand, South Korea | Sales Keynote Speaker | Personal Branding | Internet Marketing Expert Consultant (http://www.lloydluna.com)
[your-email]
Reply-To: lloydluna@gmail.com



Your message was sent successfully. Thanks.
Failed to send your message. Please try later or contact the administrator by another method.
Validation errors occurred. Please confirm the fields and submit it again.
Failed to send your message. Please try later or contact the administrator by another method.
Please accept the terms to proceed.
Please fill in the required field.
This input is too long.
This input is too short.
Your entered code is incorrect.
Number format seems invalid.
This number is too small.
This number is too large.
Email address seems invalid.
URL seems invalid.
Telephone number seems invalid.
Your answer is not correct.
Date format seems invalid.
This date is too early.
This date is too late.
Failed to upload file.
This file type is not allowed.
This file is too large.
Failed to upload file. Error occurred.