360 Website Intake 360 Website Intake Form Complete this form as part of the process in launching your 360 website! Company InfoCompany Name(Required)as you want it displayed on the website i.e. abc company instead of abc company llcCompany Phone Number(Required)The number you want displayed on the website for potential customers/clients to call you on. Misc Number infoIf there are multiple numbers how will they be used and where should they be on the site. Are the numbers cell phones, land lines, personal cell phones etc. Do we need to purchase your Domain?(Required) Yes No not sure Domain Name(Required)(site URL)Where is your domain name registered?(Required) Go Daddy NameCheap BlueHost HostGator Just Host A2 Hosting I'm Not Sure... Other Company Email(Required)This is the main company email. Company Email Usage(Required)Select all that apply Please post the email address directly on the site Please have the form send submissions to the company email Do NOT display the company email anywhere on the site Form submissions need to go to a different email Form Submission Email AddressMisc Email infoIf there are multiple emails to use on the website how will they be used and where should they be on the site. Do alias's need to be setup? Do we need to set up branded email? What alias's need to be created. Company Address(Required)This is the address for your company Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Display Company Address on Website(Required) Yes No Service Area Not sure yet Display Company Address on:(Required) Contact Page Website Footer Other page Other Page to display company addressAre there additional company contacts involved with this project?(Required)Will the 360 team be needing to communicate with other representatives from your company or organization for the build of this project? Yes No Not Sure Yet Other Team Members Contact InfoTell us who else is on your team that we might be working with on this project. we need name, phone, email, role. Main Contact Person Name(Required)who will be the main person we work with on thisRole(Required)i.e. Owner, Manager, President, etcMain Contact Email(Required)This is the email you'd like to communicate with the 360 team through. Can be the same as the company email. Direct Contact Phone(Required)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 / Website Colors(Required)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. Colors to avoid:Please give us any colors you do NOT want us to use for this website build. Main Competitors:(Required)Tell us who you feel you are competing against or you'd like to compete against. Website Content InfoPackage Purchased(Required) Express Standard Express Plus Express Premium 360 Custom Website Project 360 Growth Engine Sitemap(Required)Here is where we will flush out the navigation and page setup for the website. Additional Pages Purchased:(Required) 0 1 2 3 4 5 7 10 Additional Addon Page(s):Name of page, existing url, contentAbout page(Required)Tell us about your company, who you are, what you do, what separates you or makes you unique/different from your competitors? Vision/Mission/ Core ValuesCoverage area(Required)Tell us about the area you serve. Give us the cities/towns or geographic region you serve.Coverage area to be displayed on:(Required)Check all that apply Home page About page Contact page Other Other pages for coverage area to be displayedServices:(Required)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. Tell us about the pain point(s) you solve for your customers. Services cont:(Required)Tell us about the pain point(s) you solve for your customers. What positive result will your customer experience if they buy your product / service? how does your product or service make your customers life better? Top Service(s)/Product(s)(Required)Please specify your top product(s) or service(s) that you'd like to highlight or make more prominent. What is your main offer? Product / Services customer journey(Required)How do they buy? order online, book call, request quote/estimate, call, etc. What does the buyers journey look like with your company.Team Members(Required)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.Home Page(Required)How do you explain your company / products / services to someone you meet? The more info here the better.Home Page Ideal Customer(Required)customer avatar(s)Home Page Features(Required)Any specific features you want us to make sure we incorporate on the homepage. Information to display on the Contact Page(Required)Check all that apply Company address Map with pin of company address Map with service area Contact form company mailing address (if different than company address) Company Phone Number Company Email Company Fax # social icons for social media channels Testimonials Select AllContact Page(Required)Anything specific you'd like to display or say on the contact page?Contact Form Customization:(Required)here is where we will included things that the client wants added to the contact form. 2nd Form Customization:(Required)here is where we will included things that the client wants added to the contact form. Mailing AddressIf different from company address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Misc InfoAnything 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)Do you want a Thank You Page landing page?(Required) Yes No Not Sure Thank You Page(Required)Anything specific you'd like to display or say on the thank you page after someone completes a contact form?Page 5(Required)Name of page, existing url, tbdPage 5 copy:(Required) Using Existing/Provided client copy w/ no edits editing provided copy 360 writing page copy Page 6Name of page, existing url, tbdPage 6 copy:(Required) Using Existing/Provided client copy w/ no edits editing provided copy 360 writing page copy Page 7Name of page, existing url, tbdPage 7 copy:(Required) Using Existing/Provided client copy w/ no edits editing provided copy 360 writing page copy Page 8Name of page, existing url, tbdPage 8 copy:(Required) Using Existing/Provided client copy w/ no edits editing provided copy 360 writing page copy Page 9Name of page, existing url, tbdPage 9 copy:(Required) Using Existing/Provided client copy w/ no edits editing provided copy 360 writing page copy Page 10Name of page, existing url, tbdPage 10 copy:(Required) Using Existing/Provided client copy w/ no edits editing provided copy 360 writing page copy Page 11Name of page, existing url, tbdPage 11 copy:(Required) Using Existing/Provided client copy w/ no edits editing provided copy 360 writing page copy Page 12Name of page, existing url, tbdPage 12 copy:(Required) Using Existing/Provided client copy w/ no edits editing provided copy 360 writing page copy Page 13Name of page, existing url, tbdPage 13 copy:(Required) Using Existing/Provided client copy w/ no edits editing provided copy 360 writing page copy Page 14Name of page, existing url, tbdPage 14 copy:(Required) Using Existing/Provided client copy w/ no edits editing provided copy 360 writing page copy Page 15Name of page, existing url,Page 15 copy:(Required) Using Existing/Provided client copy w/ no edits editing provided copy 360 writing page copy Page 16Name of page, existing url,Page 16 copy:(Required) Using Existing/Provided client copy w/ no edits editing provided copy 360 writing page copy Social ChannelsFacebook page urlinstagram pageYelp pagePinterest Channel LinkYou Tube Channel LinkLinkedIn Channel linkX (formerly Twitter) Channel linkEmailThis field is for validation purposes and should be left unchanged. 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