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New Client Form - Just Results Marketing
New Client Form
Please complete the following information:
Your Name (required)
Your Email (required)
What is your site about?
Please be specific
What actions you like your viewers to take when they are on your site?
(purchase,call,make appointment, etc.)
.
Who is your target market?
demographic
male/female
age group
education level
other
What is the title/headline of your site?
What is the title/headline of your site?
What domain would you like to use?
Do you need us to register a domain for you?
Yes
No
If yes, what are your top three choices?
Do you have your own hosting?
Yes
No
.
If yes, please provide access details?
CPanel access
password
other access info
Websites that you like the look of.
list URL's of any you like
Do you have your own logo?
list URL's of any you like
Do you have high quality images we can use?
What are your preferred colors?
(Click the fields to select your color)
What are the pages and categories you want to include?
Do you have contents already?
What are your expectations for your site?
Final date of site launch
(minimum of 2 weeks and depends on your design)
Anything else you would like to share with us?
Enter the code shown
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