360 Express Intake Form

Complete this form as part of the process in launching your 360 Express website!

Company Info

Give us the email you'd like to communicate through and where the contact form submissions should go.
Company Email Usage(Required)
Select all that apply
This is the email you'd like to communicate with the 360 team through. Can be the same as the company email.
The number you want displayed on the website for potential customers/clients to call you on.
This is the number the 360 team should call if we need to get a hold of you. This could be the owners cell or a secondary number to the main company line. This will NOT be published on the website.
Company Address(Required)
This is the address for your company
Please give us the color or colors you'd like to see us incorporate into the website. If you have RGB or Hex code numbers even better! Tell us what you'd like as the primary color of the site and the secondary color. Or if you would like to trust our team to choose for you, just let us know.
Please give us any colors you do NOT want us to use for this website build.
Tell us who else is on your team that we might be working with and give us their role and contact info.

Website Content Info

Tell us about your company, who you are, what you do, what separates you or makes you unique/different from your competitors?
Tell us about the area you serve. Give us the cities/towns or geographic region you serve.
Please be as descriptive as possible for the service/product or services/products you offer your customers. This information is what will be used for the services/product page of the website.
Please specify your top product(s) or service(s) that you'd like to highlight or make more prominent.
Please give us a list of your team/employees and their roles and a brief description of each. This could be a "get to know you" paragraph or two of the person and or the role they play in the company.
Any specific features you want us to make sure we incorporate on the homepage.
Anything specific you'd like to display or say on the thank you page after someone completes a contact form?
Information to display on the Contact Page(Required)
Check all that apply
Anything specific you'd like to display or say on the contact page?
Mailing Address
If different from company address
Anything else we need to know or you'd like to add to the website please put it here. I.E. we are a member of XYZ association or have ABC certification. (also don't forget to email us any images that you may have that represent any certifications or association membership)

Social Channels

This field is for validation purposes and should be left unchanged.