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Current domain

Preferred domain

Desired launch date

Company Name

Name

Address

Phone

Email

How can we help?

Company slogan

Tell us about your company

What are your goals for this website? What are your goals for this website? Establish My Brand Online Sell Products/Services/Tickets Show Portfolio Gain Email Subscribers Increase Social Media Followers Other

What are your additional goals for this website?

Who will build and manage your website? Who will build and manage your website? Do-It-Yourself A friend or team member Parmon Consulting Undecided

Our website should include: Our website should include: eCommerce Videos Image gallery Blog Email subscription Bio's Testimonials Map

Are you set up to accept credit cards? Are you set up to accept credit cards? Yes No

Do you want business email? e.g. info@YourDomain.com Do you want business email? e.g. info@YourDomain.com Yes No

Preferred Email Address

Do you have a logo? Do you have a logo? Yes No

Do you want help designing a logo? Do you want help designing a logo? Yes No

Do you have existing branding we need to match? e.g. Business cards/brochures Do you have existing branding we need to match? e.g. Business cards/brochures Yes No

Tell us about your branding: Colors, fonts, styles, etc

Is your content ready? Pictures, videos, text Is your content ready? Pictures, videos, text Yes No

Which social media accounts do you have setup? Which social media accounts do you have setup? Facebook Instagram Twitter Yelp LinkedIn YouTube Other

e.g. https://www.facebook.com/username/

e.g. https://www.instagram.com/username/

e.g. https://www.twitter.com/username/

e.g. https://www.yelp.com/biz/username/

e.g. https://www.linkedin.com/company/username/

e.g. https://www.youtube.com/user/username/

Enter any additional social media links here

Do you use cloud storage? (Check all that apply) Do you use cloud storage? (Check all that apply) OneDrive Google Drive Dropbox Other

Which cloud storage do you use?

Would you like a quote for an onsite meeting? Would you like a quote for an onsite meeting? Yes No

Where would you like to meet?

When would you like to meet?

Name a few sites that appeal to you. Please comment on what you like/dislike about the design and features of these sites in relation to your site.

What keywords will someone use when searching for your business on Google?