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Tell Us A Little About You

Please fill out the form below to give us as much information as you can about your business or profession, contact information and personal preferences.

[ ** We keep your information 100% confidential and do not share any of it with third-party entities ** ]

 

 

    Contact and Business Information

    Your Name (required)

    Your Email (required)

    Phone #

    I need a: Business SitePersonal Website

    Business Name

    Address

    City

    State

    Zip:

    Description of your business or profession

    Slogan or Mission Statement?

    Do you sell products? yesno

    Do you have a staff? yesno

    Do you have a PayPal account? yesno

    Do you have a Dropbox account? yesno

    Other cloud account? yesno

    Other cloud accounts (ex: Box, Cloud Drive, Google)

    Current Website Status

    Do you own a domain name? yesno

    Your Domain:

    Do you have a website? yesno

    Your Website Address:

    Are you on Facebook? yesno

    Your Facebook Address:

    Other Social Media accounts (ex: LinkedIn, Pinterest, Instagram,etc.)

    Colors, Graphics and Photos

    Your Preferred Color Schemes:

    Do you have a logo? yesno

    Upload your logo file:

    Can you send more photos? yesno

    Home computer: PC or Mac? PCMac

    Other Comments: