Questionnaire
WEBSITE DESIGN Onboarding
Please enable JavaScript in your browser to complete this form.
Business Information
-
Step
1
of 2
Name
*
First
Last
Web Host
*
Web Host Login Username
*
Web Host Login Password
Business Address
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
To appear on website contact page. (May omit if requested, but not recommended)
Business Phone #
To appear on website contact page. (May omit if requested)
Contact Form Email
*
This is the email contact form messages will go to.
Next
Please Upload Your Logo
Click or drag files to this area to upload.
You can upload up to 2 files.
Please provide a high resolution image, in either .PNG with transparent background or as a vector image.
Hex Code # for Brand Color Palette
*
If you know the Hex Codes, please enter it here. If not, please provide the main colors you want on the website. (i.e. Teal, gold and black) PLEASE PROVIDE AT LEAST 2 COLORS.
Brand Photos Link
*
Please provide a link to your branded photos to be used on the website. (Google Drive, Dropbox, Onedrive, etc.)
Submit