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Website Information Gathering Form

Website Information Gathering FormElemeno2020-11-15T15:39:33-06:00

Step 1 of 5

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Name
This field is for validation purposes and should be left unchanged.
Business Information:
Business Name (Inc. or LLC?)*
Business Website URL/Domain*
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Business Contact Information
Contact Name*
First Last
Contact Email*
Business Phone*
Business Fax
Additional Phone (Optional)

Additional Business Information
Years in Business
Business Hours & Days
Payment Types Accepted
- Credit Card
- Paypal
- Invoice
- Cash
- Check
Services, Products, or Brands Offered

Logo Files (If Available)
Business Logo
Max. file size: 50 MB.
Existing Social Media Pages
Enter the direct links to your social media pages.
Facebook - URL Address
Twitter - URL Address
LinkedIn - URL Address
Youtube - Link

Current Website Hosting & Domain
Do own the hosting for your current website?*
- Yes
- No
Do currently own your website domain?*
- Yes
- No
Google Analytics Account*
Do you have an existing Google Analytics account you would like to use?
- Yes
- No
- Create an account for me

Notes
Are there websites that you like the overall look of for your design? Please list those web addresses.
Anything else you would like to see included in your website
Questions/Comments?

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GET IN TOUCH

Thank you for your interest in our services. We are here to help with any digital marketing needs or questions. Let us know how we can help!

Kearney, MO 64060
816-476-7776

"*" indicates required fields

LinkedIn

This field is for validation purposes and should be left unchanged.

Name*

First Last

Email*

Phone

Questions or Comments*

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