Order Form

This form will help us create your projects faster and get you quickly on the road to greatness and increased business.

This form will help us put design a website that best reflects you or your small business. What you say here will determine how much work needs to be done and will save you time and money by helping identify your specific project requirements. Please fill in as much as possible.

If you bought an Internet Package, this a list of the package contents.
(Subject to change)
If your table ad was $500 -995 You will receive One Reputation Video
If your table ad was $1000-1495 You will receive all items in package 1
If your table ad was $1500-1990 You will receive all items in package 2
If your table ad was over $1995 You will receive all items in package 3

You can choose ALL of the items within the package or just a few.
Please tell us which items you would like within your package.

Package 1
4 Facebook Covers
1 Social Post /day/2 weeks
20 Citations
1 Rep Video
500 Business Cards 1 side

Package 2
6 Facebook Covers
1 Soc.Post Per day/1 months
60 Citations
Review Collection Pgm 1 months
2 Videos Expert Interview or Reputation
500 Business Cards 2 Side
5 Digital Display Ads

Package 3
10 Social Covers
2 Social Post per day/1 months
200 Citations 30 Dir. Listings
Review Collection Pgm 2 Months
3 Videos (2 Rep Videos / Interview Video
1000 Business Cards 2 Sides Full Color
8 Digital Display Ads (3 with Motion)

Start By Filling SECTION 1

Fill in the sections for the products we will be working on for you

Section 1: Business Details

Company Name *

New Customer
YesNo

Email Address for This Project *

Best Way to Communicate with You?
Text MessagePhoneEmailAll The Above

Company Colors. If no preference write NONE *

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Section 2: Videos

Type Of Video
ReputationExpert InterviewHiring/EmployeeFacebook ReputationInterview Reputation

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Section 3: Review Collection Program

Which Sites would you like your reviews to go to: (We can monitor over 20 sites, that you have an account or listing with)
Choose 1 to start from these 5, Then Fill in others below
GoogleFacebookTrip AdvisorBingYahoo

OTHER:

Which Sites would you like your reviews us to monitor
GoogleFacebookTrip AdvisorBingYahoo

OTHER:

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Section 4: Social Covers

How many social Covers do you want
1610NONE

What type of Social Covers
Holidays OnlyOffer CoversReputation CoverAssortedNONE

We will need electronic access to your social pages. We will send you a form to fill out, that will electronically capture your information for the program to deliver the products to your social pages

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Section 5: Social Postings

All information in Section 4 pertaining to Facebook
We Post 5 days a week
Do you want
1 Postings Per Day2 Postings Per DayNONE

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Section 6: Citations

How Many Citations
2050200NONE

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Section 7: Digital Ads & Best Traffic

How Many Ad Sizes?
1515NONE

Do you want to target specific?
zip codescitiesStateNONE

Please list your choices

What Type Of Banner?
BrandingPromotion/SalesHolidayNONE

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Section 8: Websites

In short, what are your top 3 goals for this website? *

The importance of the first impression is paramount. How should visitors describe your new site? (Examples: modern, user-friendly, bold, corporate, fun, forward-thinking, innovative, bright, calming, elegant, clean, minimal, etc.)

Who is your target audience? (Examples: age, industry, gender, income, geographical area, etc)

What are the top 1 to 2 keywords you'd like to be found for?

What kinds of images best reflect your business? (Examples: business images, product images, industry, nature, etc)

Do you have a color scheme? If not, what is your color preference?

Do You Have Any Questions For Us so far??

What is your current or intended website address? *

How soon do you need the new website completed? *

What do you want your top 4-5 pages to be on the Homepage? (Examples: Home, About Us, Contact Us, Services, Blog, etc.)

Please list your competitors' websites. What do you like and not like about their websites?

Are there any particular websites that you like? Why? (Examples: page elements like headers, menus, sidebars, colors, typography, photos, etc.)

Branding Guide Upload Here

Logo Upload Here

Current Website

With whom did you register your domain? (Example: GoDaddy)

Domain Username

Domain Password

With whom do you currently host your website?

Hosting Username

Hosting Password

With whom do you currently use for email marketing (CRM)? (Examples: Active Campaign, MailChimp, Aweber, InfusionSoft, etc.)

CRM Username

CRM Password

Any Other Comments

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