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Bussiness Name
Client Name
Client Email
Offical Email
Bussiness Type
Agriculture & Forestry/Wildlife
1. Extermination/Pest Control
2. Farming(Animal Production)
3. Farming(Crop Production)
4. Fishing/Hunting
5. Landscape Services
6. Lawn care Services
7. Other(Agriculture & Forestry/Wildlife)
Business & Information Consultant
1. Employment Office
2. Fundraisers
3. Going out of Business Sales
4. Marketing/Advertising
5. Non Profit Organization
6. Notary Public
7. Online Business
8. Other (Business & Information)
9. Publishing Services
10. Record Business
11. Retail Sales
12. Technology Services
13. Telemarketing
14. Travel Agency
15. Video Production
Construction/Utilities/Contracting AC & Heating
1. Architect
2. Building Construction
3. Building Inspection
4. Concrete Manufacturing
5. Contractor
6. Engineering/Drafting
7. Equipment Rental
8. Other (Construction/Utilities/Contracting)
9. Plumbing
10. Remodeling
11. Repair/Maintenance
Education
1. Child Care Services
2. College/Universities
3. Cosmetology School
4. Elementary & Secondary Education
5. GED Certification
6. Other (Education)
7. Private School
8. Real Estate School
9. Technical School
10. Trade School
11. Tutoring Services
12. Vocational School
Finance & Insurance Accountant
1. Auditing
2. Bank/Credit Union
3. Bookkeeping
4. Cash Advances
5. Collection Agency
6. Insurance
7. Investor
8. Other (Finance & Insurance)
9. Pawn Brokers
10. Tax Preparation
Food & Hospitality
1. Alcohol/Tobacco Sales
2. Alcoholic Beverage Manufacturing
3. Bakery
4. Caterer
5. Food/Beverage Manufacturing
6. Grocery/Convenience Store(Gas Station)
7. Grocery/Convenience Store(No Gas Station)
8. Hotels/Motels(Casino)
9. Hotels/Motels(No Casino)
10. Mobile Food Services
11. Other (Food & Hospitality)
12. Restaurant/Bar
13. Specialty Food(Fruit/Vegetables)
14. Specialty Food(Meat)
15. Specialty Food(Seafood)
16. Tobacco Product Manufacturing
17. Truck Stop
18. Vending Machine
Gaming
1. Auctioneer
2. Boxing/Wrestling
3. Casino/Video Gaming
4. Other (Gaming)
5. Racetrack
6. Sports Agent
Health Services Acupuncturist
1. Athletic Trainer
2. Child/Youth Services
3. Chiropractic Office
4. Dentistry
5. Electrolysis
6. Embalmer
7. Emergency Medical Services
8. Emergency Medical Transportation
9. Hearing Aid Dealers
10. Home Health Services
11. Hospital
12. Massage Therapy
13. Medical Office
14. Mental Health Services
15. Non Emergency Medical Transportation
16. Optometry
17. Other (Health Services)
18. Pharmacy
19. Physical Therapy
20. Physicians Office
21. Radiology
22. Residential Care Facility
23. Speech/Occupational Therapy
24. Substance Abuse Services
25. Veterinary Medicine
26. Vocational Rehabilitation
27. Wholesale Drug Distribution
Motor Vehicle
1. Automotive Part Sales
2. Car Wash/Detailing
3. Motor Vehicle Rental
4. Motor Vehicle Repair
5. New Motor Vehicle Sales
6. Other (Motor Vehicle)
7. Recreational Vehicle Sales
8. Used Motor Vehicle Sales
Natural Resources/Environmental
1. Conservation Organizations
2. Environmental Health
3. Land Surveying
4. Oil & Gas Distribution
5. Oil & Gas Extraction/Production
6. Other (Natural Resources/Environmental)
7. Pipeline
8. Water Well Drilling
Other Other(Business Type Not Listed)
1. Personal Services
2. Animal Boarding
3. Barber Shop
4. Beauty Salon
5. Cemetery
6. Diet Center
7. Dry cleaning/Laundry
8. Entertainment/Party Rentals
9. Event Planning
10. Fitness Center
11. Florist
12. Funeral Director
13. Janitorial/Cleaning Services
14. Massage/Day Spa
15. Nail Salon
16. Other (Personal Services)
17. Personal Assistant
18. Photography
19. Tanning Salon
Real Estate & Housing Home
1. Inspection
2. Interior Design
3. Manufactured Housing
4. Mortgage Company
5. Other (Real Estate & Housing)
6. Property Management
7. Real Estate Broker/Agent
8. Warehouse/Storage
Safety/Security & Legal Attorney
1. Bail Bonds
2. Court Reporter
3. Drug Screening
4. Locksmith
5. Other (Safety/Security & Legal)
6. Private Investigator
7. Security Guard
8. Security System Services
Transportation
1. Air Transportation
2. Boat Services
3. Limousine Services
4. Other (Transportation)
5. Taxi Services
6. Towing
7. Truck Transportation(Fuel)
8. Truck Transportation(Non Fuel)
Bussiness Address
Offical Phone Number
Partner Mobile Number
Current Domain Name if aplicable
Current Hosting Name if aplicable
Please describe your organization in a few sentences.
Why do you want to have a new website? What are your priorities?
Describe the desired look and feel by using adjectives and short phrases.
Describe your target audience? What do you want to your site to convey?
Do you have a high-resolution logo?
Yes
No
Notsure
Is your site managed by a content management system (CMS)?
Yes
No
Not Sure
Do you currently have a blog?
Yes
No
Not Sure
Which Social Media tools do you use? Check all that apply.
Facebook
Twitter
Youtube
LinkedIn
Yelp
Foursquare
TripAdvisor
Instagram
Tumblr
Google+
Pinterest
Flickr
Vine
Urbanspoon
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+1 888-202-6368
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