Client Intake

4 Aug 2020

Registered Company/Organization Name
Registered Business Phone Number (MUST be registered against the company name)
Physical Address (MUST be against the Registered Business Phone number)
Street Address Address Line 2 City State ZIP Code
Owner's Name (Registered)
First Last
Target City/State
City State / Province / Region
Email Address (For notifications of website registrations)
Enter Email Confirm Email
Business Hours
Website Information
Website URL (if you do not have one leave it blank):
Website Brief Introduction (Around 70 characters)
Website Category/Theme
Ten Keywords which describe your site best:
Main Functionality of Product/Service:
Competitor Website URLs (Max 3):
Describe Your Online Marketing Objectives
Describe Your Target Market. (Target Audience, Target Location)
Please describe your typical customer.
What do you want people to do on your site?
What sort of imagery/colors should we stay far away from?

Website Information