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316-260-2700
07:00 - 3:30
316-260-2700
Website Intake Form
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Business Contact Information
All fields are required. We use this information to contact you about billing, service changes, questions, updates and more. If you do not have a business name and are working under your own personal name, then write "N/A" into the business name field.
Business Name
Public Business Phone Number
Public Business Email Address
Business Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Primary Contact Name
Primary Contact Phone Number
Primary Contact Email Address
Secondary Contact Name
Secondary Contact Phone Number
Secondary Contact Email Address
Business Details
We use this information to design a website that will successfully attract your customers and to fit your brand and preferred style. Please try to be as detailed as possible.
What does your business do?
Exactly what you do. How does a website fits into your business plan?
Do you have a brand or style guide that needs to be followed?
Do you have logos, photos, fonts, colours or illustrations that need to be part of the finished design? Do you have a brand “tone of voice?”
Yes, and I have a document I will share
Yes, and I will describe it to you
No
Please describe your brand/style
Upload Your Brand/Style Guide
Drop files here or
Select files
Accepted file types: jpg, gif, jpeg, png, eps, ai, pdf, svg, heic, tiff, bmp, Max. file size: 20 MB.
Do you have a logo?
Yes
No
Is It an Editable Vector Format? (eg: .ai, .eps. .svg)
Yes
No
Would you like us to convert your logo?
We require editable vector art in order to complete your website design properly. We can convert your logo/art to that format for a set-up fee. The fee starts at $25 and escalates for more complicated logos.
Yes
No
Upload Your Logo
Drop files here or
Select files
Accepted file types: jpg, gif, jpeg, png, eps, ai, pdf, svg, heic, tiff, bmp, Max. file size: 20 MB.
Tell us about your brand. What is the "feel" or "attitude" you are going for?
Please list out the primary business objectives for the website
Do you want them to click a link? Get information? Buy something? Fill out a form or sign up? Register for an event? Download an app? Share something on social media?
List out secondary goals you would like users to take on the website (i.e. download a form, signup for email, etc).
What is your primary target demographic / audience? Can you provide a description of your typical customer persona?
Website Hosting Details
Please fill in as many of these details as possible. We use this information to secure your hosting.
Do You Already Own a Domain?
Yes
No
Do you currently have a website live to customers?
Yes
No
What is the URL?
Who hosts the domain?
e.g. GoDaddy, Bluehost, Hover, etc.
Do they also host your website files?
Yes
No
Who hosts the files?
e.g. GoDaddy, Bluehost, SquareSpace, etc.
Do you use this domain to send email?
Yes
No
Please list your preferred domain
Please list at least 3 more domains in case your preferred domain is not available
Add
Remove
Website Content and Features
What do you love/hate about your current website?
Be specific, do you like the colors but not the font? Do you dislike the images? If you could keep anything to take over on to the new site what would it be?
What are the must-have features for your new website?
Here’s some examples: e-commerce, social media links, Email collection, abandoned cart functions, a blog or news feed, galleries, videos, , a contact form, a booking form, quote request form…
List other websites that you like
This will help to get everyone on the same page visually. Try to list 3 or 4 examples.
URL
What do you like?
Add
Remove
Please list the any and all non-eCommerce pages you would like on the site
e.g. Contact, About, History, Services, Menu
Add
Remove
Will you provide the content for the above pages?
This includes the written content and images/photographs for each page.
Yes
No
Do you want the ability to make changes after the site is finished?
How do you want to use the site in the future? Depending on what the website is used for and how it is built, there may be a need for period maintenance, training, or support.
Yes
No
Do you plan on selling products or services through your website?
Yes
No
Please provide details of what you'd like to sell/take payments for
Do you currently use a merchant account and payment gateway?
Yes
No
Name of Payment Processor
Please list all the social media links you'd like included on the site
Add
Remove
What else would you like to tell us about your website?
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