Intake Form Step 1 of 28 3% Company Name Street Address City State Zip Code Company PhoneCompany Email Website Primary Industry Company LogoAccepted file types: pdf, ai, eps, jpg, png, Max. file size: 64 MB.Please provide your logo in VECTOR. This would be file type like .ai, .eps, .pdf. If you do not have your logo in vector, you can often reach out to whoever designed it and retrieve it. Otherwise, just provide what you have. Do you have more than one location?NoYesPlease add all location names and addresses here: My primary goal for this website is to... (Select all that apply. Hold CTRL to select more than one)Sell a product onlineGet more people to call meGet more people to visit my brick and mortar shopUse it as a marketing hub for additional online marketing and advertising. Additional Features Information (Select all that apply):Event CalendarEmail List Opt-inEmployment ApplicationFacebook PixelLinkedIn InsightsGoogle AnalyticsGoogle Tag ManagerOtherNoneHere are some options we can include with your website at no additional cost. Please select which you would like to include.Event Dates & InformationEmail List Provider What email address would you like your application to go to? Facebook PixelLinkedIn InsightsGoogle AnalyticsGoogle Tag ManagerOther FeaturesPlease describe any additional features you would like to request on the website. Please note that additional features may require a separate quote. Have you defined your company's core values?Select One...YesNoCore ValuesHave you defined your mission statement?Select One...YesNoMission StatementHave you defined your vision statement?Select One...YesNoVision StatementHave you written your "About us"?Select One...YesNoAbout UsWould you like help writing your "About us" statement? If so, we will ask a few more questions here..Select One...YesNo What year was your company founded? Who founded your company? What inspired the (you or the) founder to start the company?What major need does your product or service fulfill? Is there anything special about your product or service that your competitors don't do? If so, list them here.. Founder's PictureAccepted file types: jpg, png, Max. file size: 7 MB.Please provide a professional image of the owner or owners of the company here.Founder's Name First Last Title Email Short Biography Are there cofounders?Select One...YesNoList them below...Cofounder's Images Drop files here or Select files Accepted file types: jpg, png, Max. file size: 20 MB, Max. files: 12. Please provide images of your cofounders for the website. Does your organization have a board of directors?Select One...YesNoList them below...Board Photos Drop files here or Select files Accepted file types: jpg, png, Max. file size: 2 GB, Max. files: 12. Upload images of your board members here.Do you want to list your staff on your website?Select One...YesNo Name First Last Title Email Name First Last Title Email Name First Last Title Email Reference Website #1 Please list at least one website we can use as inspiration when designing your website. What specifically do you like about the design and/or functionality of this website?Any additional reference websites?Select One...YesNoReference Website #2 What specifically do you like about the design and/or functionality of this website?Any additional reference websites?Select One...YesNoReference Website #3 What specifically do you like about the design and/or functionality of this website? What problems do clients face when working with other people in your industry?How do you specifically solve these issues? Type of Business*Retail Store FrontService BusinessEcommerce Which Payment Options do you want offer?Select all that apply...PayPalStripe PaymentsAmazon PayGoogle PayPayPal Email Address This must be a PayPal Business Account Shipping OptionsSelect all that apply...Local PickupFlat RateFree ShippingLive Carrier Rates**Live Carrier rates will incur additional costs due to premium plugin requirements.Local Pickup Rate Flat Shipping Rate Carrier SelectionSelect One...USPSFedExUPSDHLOther Shipping LocationsSelect all that applyUnited StatesForeign CountriesUnited StatesSelect One...Entire United States48 Contiguous StatesSpecific StatesOther Flagship Product/ Service DescriptionDo want to display any more products or services?*Select One...YesNo Product/ Service #2 DescriptionDo want to display any more products or services?*Select One...YesNo Product/ Service #3 DescriptionDo want to display any more products or services?*Select One...YesNo Product/ Service #4 DescriptionDo want to display any more products or services?*Select One...YesNo Product/ Service #5 DescriptionDo want to display any more products or services?*Select One...YesNo Product/ Service #6 DescriptionDo want to display any more products or services?*Select One...YesNo Additional Products?Max. file size: 2 GB.If you have any additional products or services, please place them on a document and upload them here. Ecommerce ProductsAccepted file types: xlsx, csv, xls, Max. file size: 2 GB.Please upload your products with the excel spreadsheet we provide you, or your own, if you have one. ImagesWebsite Images Drop files here or Select files Accepted file types: jpg, jpeg, png, Max. file size: 2 GB, Max. files: 10. Please upload any images you would like us to place on the website. Additionally, you can email them to [email protected]Documents and Files Drop files here or Select files Accepted file types: pdf, Max. file size: 2 GB, Max. files: 10. Do you have any brochures, guides, etc. you would like placed on the website? Please place them here. Any additional information you would like to provide?Thank You! Thank you for providing this information for your website. This will help expedite development significantly. Hit the submit button below and we will get back to you with an update soon!EmailThis field is for validation purposes and should be left unchanged. Δ
