Website Design + Digital Marketing Package Intake Form

Step 1 of 5

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Basic Business and Contact Information
Name of Company*
Public Business Phone Number*
Who would you like us to contact?*
First Last
Best way to contact you?*
- Cell Phone
- Office Phone
- Text Message
- Email
Best contact #/email address?*
Best day of the week to contact you?*
- Monday
- Tuesday
- Wednesday
- Thursday
- Friday
Best time of day to contact you?*

: Hours

Minutes

AM/PM
Physical Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Can we publish this business address publicly?*
- Yes
- No
Billing Address*
Same as above

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Basic Website Information
List Your Current Website URL*
If you do not have a website URL yet, please write "Need Website URL".
Do you have multiple websites?*
- Yes
- No
If you do have multiple websites, please list their URLs here.

Social Media Information
Please list the URL for your Facebook Page (if applicable.)
Twitter
Username Password
Yelp
URL Username Password
YouTube
Channel URL Associated Gmail Gmail Password
Instagram
Username Password
Additional Social Media
Links to any additional social media channels you have already set up for your business such as Pinterest, Houzz, SnapChat

Technical Website Information
Google AdWords Account Number
(if available)
Do you have a Google Analytics account?*
- Yes
- No
Google Analytics
Please prove the username and password for the gmail account associated with your Google Analytics, if you already have an account set up. OR add '[email protected]' as a full rights user to your account.
Username Password
Domain Registrar
Your registrar will be something like GoDaddy, Network Solutions, etc...
Registrar Website Username Password
Web Host Information
Hosting Provider Username Password
Website CMS Information (i.e., WordPress)
URL to Log In Username Password
Would you like to host your site with TrustWorkz (Recommended)?*
We provide managed hosting for free to our active TrustWorkz clients, which means that we will take care of important updates to your WordPress site as they are available and after we have tested them. Security is extremely important to us, and our managed hosting provides you with extra security features and protection. Your site will be hosted on our dedicated server.

Website Design Information
Email (where contact form notifications from website should be sent)*
List 2 to 3 websites that you REALLY like, and a short description of why.
Please list 2 to 3 websites that you DON'T like, and a short description of why.
Is there any special functionality you are looking for on your new website?
Upload Logo File
Max. file size: 1 MB.
We prefer original logo files with .eps or .ai file extensions. A PNG image file will work as well. Your logo will look best without a white background. We can edit your logo for an additional fee. If you do not submit a logo, your business name will go at the top of your website in plain text.
Additional Logo File
Max. file size: 1 MB.
Additional Logo File (2)
Max. file size: 1 MB.
Do you wish to transfer your current content over to your new site?*
- Yes
- No
Upload any additional content here in Word Document format
Max. file size: 1 MB.
Upload a ZIP file of any additional content created in Word Document format
Max. file size: 1 MB.
Please list all of the pages you would like to have in the navigation of your new site
Do you currently use an email marketing service (Constant Contact, MailChimp, etc)
Email Marketing Credentials
Please provide your log in credentials so that we can properly integrate your email marketing service into your new website.
Service (MailChimp, Constant Contact, etc.) Username Password

Directory Listing Information
Is your Google My Business profile claimed?
- Yes
- No
- Not Sure

Google My Business Access

If you already manage your Google My Business profile, please prove the username and password for the Gmail account associated with your Google My Business account. OR add [email protected] as a full rights user to your account.

Username	Password

Business Description*
Please write a short description including the name of your business, the city you are located in, your primary business services, and whom you cater to.
Do clients visit your physical location, or do you provide service at theirs?*
- They visit my location
- I provide a service at their location
- Both

Business Hours*

Monday	Tuesday	Wednesday	Thursday	Friday	Saturday	Sunday

5-10 Photos of Your Business*
Drop files here or

Accepted file types: jpg, gif, png, jpeg, Max. file size: 30 MB, Max. files: 10.
Payment Types Accepted*
- Discover
- MasterCard
- Visa
- Cash
- Check
- Apple Pay
- Android Pay
- Financing
Keywords you'd like to show up for in search?
Your main competitors?
Turnstile

3101 Cobb Pkwy SE | Ste 124 | Atlanta, GA 30339

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Website Design + Digital Marketing Package Intake Form

Step 1 of 5

Basic Business and Contact Information

Basic Website Information

Social Media Information

Technical Website Information

Website Design Information

Directory Listing Information