First Name*

Last Name*

E-mail*

Phone*

Your company's name as it should appear on your website.

What is your tagline, slogan or similar.

The primary E-Mail address for the website.

The primary phone number as it should appear on the website.

The primary fax number as it should appear on the website.

The primary mobile number as it should appear on the website.

What is the main service you offer.

What is your 30-second elevator pitch?

Describe your services and/or products?

What are the specific "buckets" within your company, which you offer.

Any other industry specific features you want on the home page?

Who are your main competitors?

Are there any additional features that you would like for your site?

Accounting systems, database, membership options, community options. Please be as specific and detailed as possible.

What's ahead?

Are there any future goals you have...or things that you would like to add in the future? Please be as specific and detailed as possible.

Name

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Website Design Intake Form