Better Your Business Website Consultation Form
This Multifunctional form is used to gather necessary information to complete your request. Completing this form to its entirety. Some sections may not be relevant to your request, and you may skip those sections. All payments are due prior to submitting this form.
Personal Information
Please complete this section using your personal contact information
Name
*
First Name
Last Name
Title
List your title (Owner, CEO, President, Manager or Administrator)
Personal Phone Number
*
List Your Personal Number For Direct Access (Uncommonly Shared With Consumers)
Business Information
Provide us with your business information in this section. Skip the questions that do not pertain to you or your service request at this time.
Business Name
*
Please list your entire business name.
Business Industry
Summarized category of your business.
Phone Number
*
List Business Number Shared With Consumers
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Business Email
A GMAIL, YAHOO, OR OUTLOOK email is NOT a business email. Purchase your business email creation TODAY!
Current Website
example: www.betteryourbusiness.us. If you do not have one, type "NONE"
Current Domain Provider
Domain Provider is the company who host your website. Example: WIX, Go Daddy, Square, or Squarespace
Do you currently have a booking link or option?
*
Yes
No
If yes, list your provider.
Example: Google, Calendy, or Square.
List your accepted payment options for your company.
*
Example: Paypal, Cashapp, Venmo, Square or etc.
List all social media handles
*
Copy and paste your social media URLs' or Links here. Example: Facebook, IG, Snapchat or Twitter.
What do you offer?
*
Products
Services
Certification or License Number
List any certification or license number that would be necessary to process your request.
What year was your business established?
List additional details regarding your request.
Be as detailed as possible. Do not use any abbreviations or improper terminology while providing this information.
Upload all images, logos and etc that's necessary for developing your website.
*
Browse Files
Drag and drop files here
Choose a file
Upload all images needed for your request: Such as; Logo, Gallery Images, Mimicking items and more. Several documents can be uploaded at once
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Service Request
Our Service Information and Pricing Section:
Consultation Fee is required before submitting this form. All payments are due before services are rendered
*
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All Included Website Purchase
Creation of website is for your desired website for product or services. Includes: Domain purchase or connection, full design access, one business email, and two forms created or embedded.
$
699.00
Basic Website Purchase
Customizable pre formatted website for services, one form created and embedded, domain address, and one free business analysis session
$
399.00
Landing Page or Business App
This landing page includes: domain address, up to 4 links embedded, combination of 4 images or Videos. Contact Information, Services, and Booking link embedded. This page will not accept payments, but may be routed to your existing booking link.
$
199.00
Documents & Website Forms
Pricing requirements: All documents are $30.00 for a minimum of 2 pages. This is great for quick documents like; Appeals, Agreements, Contracts, Letters, Invoices, proposals, reports and forms.
$
30.00
# of Documents or Forms
2 (Minimum)
3
4
5 (Maximum)
Website Maintenance and Updates Subscription
Annual website maintenance subscription for regular maintenance and updates at no additional charge
$
100.00
Existing Website Revision
Website Revision for Minor to Major design or functionality adjustments.
$
75.00
Levels of Modification Request
Minor Changes
Basic Modifications
Major Revamping
Add On
Business Cards or Business Email Account
$
25.00
Quantity
1
2
3
"The Directory" For Networking & Marketing
We now offer additional networking opportunities for a low cost of $35 a year. Applying to be listed in our directory allows you access to a private and protected website that consists of reputable business owners and exclusive deals provided by other members.
$
35.00
Consultation Fee
$
25.00
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Website After Care Information
Requested Completion Date: NOTE: understand selecting this date, also holds you responsible for properly communicating in a timely manner to process your request on time.
*
-
Month
-
Day
Year
Date
Schedule Your Consultation Here!
*
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Finalize Your Request
Signature Required
*
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Payment Methods
Debit or Credit Card
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
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