Technology Solutions Client Project Form

Section 1: Client Information

Full Name *

Company / Organisation Name

Email Address *

Phone Number *

WhatsApp Number *

Country *

State / Region

Preferred Contact Method

WhatsApp Email Phone Call

Section 2: Project Type

Which service do you require? *

Website Development Mobile Application Development Web Application Development Business Automation Solution Custom Software Development E-commerce Solution Client Portal / Membership System

Other:

Section 3: Project Overview

Project Name

Briefly describe your project *

What is the primary purpose of this project? *

Generate leads Sell products online Provide information Manage operations Online training Community platform Customer portal Internal company system

Other:

Who are the intended users?

Section 7: Content & Materials

Will you provide content?

Yes No Need content creation support

Will you provide images?

Yes No Need stock images

Will you provide videos?

Yes No

Additional Notes on Content/Materials

Section 8: Mobile App Requirements

You are seeing this section because you selected Mobile Application Development.

Platforms Required

Android iOS Both

Do users need accounts?

Yes No

Will payments be required?

Yes No

Will notifications be required?

Yes No

Additional Mobile App Requirements

Section 9: Business Automation Requirements

You are seeing this section because you selected Business Automation Solution.

Describe your current process

What tasks are currently done manually?

What would you like automated?

Current Software Used

Number of staff using the system

Section 10: Project Timeline

When would you like the project completed?

Immediately Within 2 Weeks Within 1 Month Within 2–3 Months Flexible

Is there a deadline or event associated with this project?

Yes No

Section 11: Budget

Estimated Budget

I need a quotation Budget not decided Less than ₦250,000 ₦250,000 – ₦500,000 ₦500,000 – ₦1,000,000 ₦1,000,000 – ₦3,000,000 Above ₦3,000,000

Section 12: File Uploads

Please upload any relevant materials

You can select multiple documents: Logo, Brand Guide, Project Brief, Wireframes, Existing Design Files, Images, or Other Documents.

Section 13: Additional Information

Special Instructions, Expectations, or Questions

How did you hear about Purple Media Group?

Website Google Search Social Media Referral Previous Client WhatsApp Other

14 Client Confirmation

I confirm that the information provided is accurate. I understand that submitting this form does not automatically confirm the project. I understand that Purple Media Group will review the information and provide a proposal, quotation, estimated timeline, and recommended next steps.

Client Full Name *

Signature (Type Name) *

Date *

Purple Media & Digital Concepts LTD