Company Name
*
Desired Website Address
*
such as digital.mysite.com or mysite.com
Are you able to update the DNS for your domain name?
Please Select
Yes, send me the DNS settings
No, please do this for me
Where did you register the domain?
GoDaddy, SquareSpace, Namecheap etc.
Account number or username
Account password
Email To Receive Leads
example@example.com
Include Phone Number On Website?
Optional if you have a public business phone number
Include Physical Office Location?
Yes
No Office
Address Of Your Physical Office
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Website Design Options
Primary Color
Secondary Color
Do you have a logo?
*
Yes
No
Upload Your Logo
*
Browse Files
Drag and drop files here
Choose a file
Please upload a file with a transparent background (such as a .PNG, .PDF or vector .EPS)
Cancel
of
Include "About Us" or Team Member Bios?
*
Yes
No
Enter Write Up OR Upload A Word Document Below
Upload Biographies, Team Member Photos, About Us Text etc..
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Website Marketing Options
Include Social Media Links?
*
Yes
No
Social Media Page URLs
Include each of your social media profiles on a new line.
Do You Want To Link To Your Google My Business Profile?
Please Select
Yes
No
Link To Your Google My Business Page
Show Your Most Recent Google Reviews On Website?
Yes
No
Do You Have A Google Analytics Account Ready?
Please Select
Yes I have a Google Analytics account
No I need you to make one
I don't need to measure my site traffic
Google Analytics UA OR G4 Stream ID
Your Google Email
example@example.com
Submit
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