Info Form VIP

VIP INFO FORM

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Quote includes a full business consultation and marketing plan

vip ONLINE BUSINESS APPLICATION
Getting started with your new project. Help us understand your business more.

Items marked with a red * are required

Contact Information

First Name *	Last Name *
Email *	Preferred Phone *
Phone 2

Point of Contact For Project
Contact First Name *	Contact Last name *
Contact Email *	Contact Direct Phone *

Company Name & Mailing Address
Company Name *	Company Street Address *
Company Street Address 2	Company City *
Company State *	Company Postal Code *
Business Description *

Website Details

Website URL *	Website URL Desired
Website Phone *	Website Age? 6 Months or Less 1 Year 2 Years 3 Years 4 Years or More

Email Addresses You Will Need
Email 1	Email 2
Email 3	Email 4
Email 5

Social Media Details
FaceBook URL	YouTube URL
Twitter URL

Products & Services
If you offer Products - please give a detailed description of them * If you offer Service - please provide a detailed description of them*

Domain Access and Merchant Accounts

Physical Street Address 1	Physical Street Address 2
Physical City	Physical State
Physical Postal Code

Google Places Profile Link

Domain Registrar * (eg: Godaddy, 1&1, etc..)	Registrar Account Login *
Registrar Account Password *

Merchant Provider Name (eg: Authorize.net, Powerpay, etc..)	Merchant Gateway (eg: Authorize.net, Paypal, etc..)
Gateway Account Login	Gateway Account Password

Please Describe Your Wishes and Desires for your New Online Business

Primary 2-3 Colors that you prefer *

Describe how you would like your new website to look *

Main Navigation Links {eg: Home, Products, About Us, Contact Us, etc.. - you can also include dropdown items) *

Describe Content Postings you will need (eg: Testimonials, Staff Profiles, Articles etc..)*

Describe Logo Edits (if any)

If you require a Member Area - Please provide a description of what will be inside (eg: Videos, Articles, Downloads, etc..)

If you have a shopping cart, please list all your categories of products

Describe Affiliate Needs (if needed)

If you require Searchable Listings (eg: Real Estate Listings, Job Listings, etc...) please give a decription of them

If you require events or calendars, then please provide a description of how it should work

Describe Blog / Forum (if applicable)

Describe Downloads (if applicable)

Describe Web Forms Needed (eg: Contact Us Form, Opt-In Form, Reservations Form, etc..)

Sites You Love

Love Website 1 * (enter full URL)	Love Website 2 * (enter full URL)
Love Website 3 * (enter full URL)

Competitor Sites
Competitor Website 1 * (enter full URL)	Competitor Website 2 * (enter full URL)