Client Intake Form for Elev8ted Websites
Please complete this form to get started with your website subscription and provide your business details.
Business & Contact Information
Business Name
*
Owner First and Last Name
*
First Name
Last Name
Owner Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Owner Email Address
*
example@example.com
Business Type / Industry
*
Please Select
Plumber
Electrician
Landscaper
Cleaning Service
General Contractor
HVAC
Painter
Roofer
Handyman
Auto Repair
Salon/Barber
Restaurant/Food
Pest Control
Moving Company
Other
Describe Your Services
*
City and State You Serve
*
Service Area & Website Package
Do you serve multiple cities?
*
Yes
No
Additional cities / service areas
Website package
*
Basic $65/mo — 1-page site, contact form, mobile ready
Standard $97/mo — 3-page site, SEO basics, Google Business setup
Pro $147/mo — Full site, monthly content updates, analytics report
Logo & Media Uploads
Do you have a logo?
*
Yes
No
Upload Your Logo
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Upload Photos of Your Work
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Website Contact Details & Business Info
Business Phone Number to Display on Site
*
Please enter a valid phone number.
Format: (000) 000-0000.
Business Email to Display on Site
*
example@example.com
Business Hours
*
Facebook or Instagram Page URL
Anything else you'd like on your website?
How did you hear about us?
Please Select
Text message
Referral
Google
Social Media
Other
Submit
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