Web Design Clients- Non-Wellness

Name*

First Last

Business Name - as you would like it to appear on your site.*

Business Phone - as you would like it listed on your site*

Business Address - as you would like it listed on your website

What is the best email for us to communicate with you directly regarding your new website?*

Main Contact Email - as you would like it listed on your site.*

How would you like clients to contact you?

Select All
Phone
Email
Website Contact
Other

Describe "other"

Do you offer a free initial consultation? If so how long is the consult and what is is called?

How will you provide services to your clients? (Options you would like listed on your website.)

Select All
In Person / My location
In Person / Their location
By Phone
Through Text
Video call
Telehealth
Other

If other, please describe

Do you use an online scheduling tool? If so, please supply login credentials or an embed code.

Please enter the links to any social media accounts you would like listed on your website:

Please select how you will host your new site:*

Please host my site
I will host my site

Current Website

Where do you currently host your website? (hosting company name):

Current host access

Please provide any usernames/passwords and/or FTP access that we may need to load your site when we are finished building and ready to launch.

Do you have your own domain?*

Yes
No

Is so, please enter your current domain

If you do not have a domain, do you need help finding one?*

Yes
No

Please enter the domains that you would like us to purchase:

Please enter any email addresses you have which are associated with your domain:

(and how you will access them). As an example: me@mydomain.com and I use gmail. If you do not have an email address connected to your domain, please enter your main email address that you would like form submissions to go to.

Please enter the credentials for your domain:

This is where you first purchased your domain (examples GODaddy, Domains.com. Enom). We will need both user name and password so that we can access your domain when we launch your site and go live.

Untitled*

Privacy Policy/ Terms and Conditions- These need to be linked to from the footer of your website to legally protect you. If you have not worked with a lawyer recently to create and update these forms, they may be out dated. If you need an affordable solution to have these forms created for you, we are affiliated with a company who will create the forms and keep them updated for you for an affordable one-time fee. Just let us know and we will send you their contact information and a reminder email to obtain these forms before your site launches.

I have a website Privacy Policy and will attach below
I have a website Terms and Conditions and will attach it below
Email me the link to get one or both of these forms developed ($30-$60 with automatic updates)
I will work with my lawyer and get these forms to you through email and will keep them updated myself
I"ll take my chances on not having these required forms on my site and hope I do not get caught

Upload your website Privacy Policy here

Max. file size: 450 MB.

Upload your website Terms and Conditions here

Max. file size: 450 MB.

Web Design Clients - Non-Wellness

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