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1. Legal Business Name

2. Business Owner Full Name

3. Phone Number *

4. Email *

Address

Street Address

City

State or Province

Country

ZIP Code or Postal Code

6. Preferred Contact Method

7. Do you currently have a website?

Yes

No

8. Website URL (if yes)

9. Desired Domain Name

Other

11. Business Description (1–2 sentences)

12. Business Hours

13. Logo / Brand Upload

Upload Logo or Branding Files

14. Brand Colors (HEX Codes if known)

15. List all services you offer

16. Upload any service photos (optional)

More the merrier!

17. Upload About Us text or additional content (optional)

18. Provide 1–3 competitor websites you like

19. Do you have a Google Business Profile?

Yes

No

Not sure

20. Google Business Profile Link

21. Email to request Google Manager Access

22. Do you need us to set up your domain for you?

Yes

No

Not sure

23. Instagram name (optional)

24. Facebook name (optional)

25. Tik Tok name (optional)

26. Twitter name (optional)

27. Any additional comments?

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