W LUXER TECHNOLOGIES LLC
WEBSITE INTAKE FORM
Your Information:
Client Name
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First Name
Last Name
Best Phone Number to Contact
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Best Email to Contact
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Your Business Information
Business Name
What is the name of your business?
Business Slogan/ Catch Phrase (Optional)
Business Address (Optional)
Street Address
Street Address Line 2
City
State / Province
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Business Phone # (Optional)
Business Email (Optional)
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Business Brand/Mission Statement
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Services
What services does your business offer?
Provide a full list (if any) of services that your business provides, followed by a brief one sentence description of each service.
Example: (Professional development- Enhance skills and knowledge to help both individuals and organizations stay competitive.)
Operating Business Hours
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Business Awards/ Certifications (Optional)
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Your Website Features
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Would Like
Live Chat
Schedule/Book Appointments
Blog
Online Store/Purchasing
Other
If 'Other' was selected, please describe the feature you would want to include.
Website Design Examples That You Like
Please list at least 1-3 websites that you like as far as their design that may be something you want to go for. (Design, animation, styling, content, etc.)
Link to Website
What you like about this site
Website Example 1
Website Example 2
Website Example 3
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Social Media Links (Optional)
Fill this section out only if you have any social media links for your business
Select any social media accounts that you have for your business and their appropriate links.
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Instagram
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Site Pictures/ Media
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