Website Development Intake Form
First Name
Last Name
Business Name
Phone
*
Email
*
Address
City
State
Postal code
Website
Logo
Images
Describe Your Business in a Few Sentences
What services do you offer? (separate by commas)
What is your mission statement?
Who is your target audience?
Google My Business Username (Put NONE if not set up)
Password (GMB)
Do you have any additional requirements?
We will contact you to collect the first month payment. We will begin working on your website once this form is submitted. Thank you for your business, we look forward to working with you.
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