Marketing Wiz Australia Onboarding Form

Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*
Business Name*
Business Billing Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Business Physical Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Business Phone Number

Area CodePhone Number
Business Email
example@example.com
Business Hours (Monday - Sunday)*
How old is your organisation?*
What is your mission statement/slogan?*
Briefly describe the heart behind your organisation or give us WHAT, HOW and WHY as best you can.*
Is there a unique story behind your organisation or organisation name?*
What are the long-term goals of your company?*
Write a description of your site, or a short bio that will tell people what your site does.*
Which social media accounts do you want linked to your website?

TwitterFacebookInstagramPinterestLinkedIn
Link to the Twitter account:
Link to the Facebook account:
Link to the Instagram account:
Link to the Pinterest account:
Link to the LinkedIn account:
How many pages are you wanting us to design for your website?
Tax Registration ABN
Submit your Logo

Cancelof
If you have a domain name please provide it below, if not please let us know what domain name you want.
e.g. www.domainname.com.au
Are there any colors that you prefer? Any colors you don't want? Need some help? Check out: http://colourlovers.com
Do you have any images or symbols you associate with your product or company? Objects, animals or shapes?
Please copy and paste three websites you like and explain why you like them.

You can choose one specifically for functionality, design or even verbaige.
Website Number One*
Why did you pick website number one?*
Website Number Two*
Why did you pick website number two?*
Website Number Three*
Why did you pick website number three?*
Please select a few adjectives that you want your site to convey.

PlayfulCorporateFormalCasualSimpleHi-techHomemadeOrganicSubduedBrightRawRefinedRuggedNewsyLoudQuietMinimalIllustrativeTraditionalEdgyClean
Additional Comments

Our Services*

WordPress Website (DONE FOR YOU PACKAGE)Package includes:- WordPress CMS- Up to 5 pages creation- Mobile Friendly Design- Website Hosting- SSL Certificate (Security)- License Stock Images- Content Writing for Website- Support and Maintenance- Setup and Installation ($399 one-off payment)

$498.00AUD for the first month then,$99.00AUD for each month

Total

$0.00AUD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Please copy and paste three websites you like and explain why you like them.