Gem Marketing LTD

1

Full Name* This field is required.

2

Business Name* This field is required.

3

Contact Email* This field is required.

example@example.com

4

Contact Phone Number* This field is required.

5

Business Address (optional)

6

Service Area (city/region)* This field is required.

7

Select one:* This field is required.

I will provide an existing domain and access (login details)

I need you to create a new domain

Other

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Domain name

9

Provide login access details

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Preferred domain (option 1)

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Option 2

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Option 3

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What type of website do you need?* This field is required.

Service business website

E-commerce website

Booking / appointment website

Service business with online payments

Other

14

Please specify

16

Please specify

18

Please specify

19

List all services (list main services first)

20

List your main product categories and a few example products (not your full catalogue)

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How will your products be managed?

I will add products manually

Products come from a supplier / dropshipping

Not sure

23

Please specify

24

Will you provide the content, or would you like us to create it?* This field is required.

I will provide content

Please create content for me

25

Please provide content below

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

26

Business description (provide in detail)* This field is required.

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About your business / experience / background* This field is required.

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Key selling points (why should customers choose you)* This field is required.

29

Provide your logo (optional)

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

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Preferred colours (for website)

32

Example websites you like

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Image source* This field is required.

I will provide images

Use professional stock images

34

Upload image

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

35

Do you have a gallery / portfolio you want shown?* This field is required.

YESNO

36

provide images or link

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

37

Phone number for customers

38

Email for enquiries

example@example.com

39

WhatsApp number

40

Social media links

41

Business hours

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What are you selling?

Physical products

Services

Both

43

Will customers pay on the website?

YESNO

45

Please specify

46

Pricing type

Fixed prices

Starting from

Quote only

Variable

47

List a few example products/services and prices (not your full catalogue)

48

Who will set up payment accounts (e.g. Stripe, PayPal)?

I will set them up

I need help setting them up

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What can customers book?

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Working days / hours

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Appointment length

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Booking type

Choose time slot

Request & confirm

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Deposits or advance payment required?

Yesno

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Will bookings be for one staff member or multiple staff members?

One staff member

Multiple staff members

Not sure

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Do you have customer reviews?* This field is required.

YESNO

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Provide link where we can access them

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What does your business do?* This field is required.

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Target location* This field is required.

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Keywords (if known)

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Competitors (optional)

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Website language* This field is required.

English

Other

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Specify language

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Do you have multiple business locations?* This field is required.

YESNO

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List locations

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Is there anything else you would like to know about your website

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* This field is required.

All details provided are correct

67

* This field is required.

I understand the website will be built based on this form

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* This field is required.

I approve proceeding based on this information

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Signature* This field is required.

70

* This field is required.

Date