Website Build Form Website Build Form "*" indicates required fields Business Name* Website Product*Landing Page3-Page Website5-Page Website10-Page WebsiteCustom Number of PagesPrimary Goal* Inbound Leads Quote Requests Brand Awareness Education Other List any social media pages for your business that you would like included on the website.Facebooke.g. facebook.com/companyname Twittere.g. twitter.com/companyname Instagrame.g. instagram.com/companyname LinkedIne.g. linkedin.com/companyname Other Social MediaContact InfoPrimary Contact Name* First Last Secondary Contact Name First Last Primary Contact Email Address* Secondary Contact Email Address Primary Contact Phone Number*Secondary Contact Phone NumberContact DetailsDo you have a public email or phone number that you'd like displayed on your website?Business Phone Number*This phone number will be displayed on the website.Email address to be displayed on the websiteThis email will be displayed on the website. If you do not want your email visible on the website, please leave this field blank. Additional Contact Info for display on your websitePlease let us know if you do not want specific contact information displayed such as phone number or email.Do you have a physical address that you would like to use?* Yes No Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Hours of Operation*e.g. Monday-Friday: 8 AM - 4 PM Saturday-Sunday: CLOSEDEmail for Contact Form Submissions*Tell us which email you would like the message from the Contact Form to go to. Contact Form Fields Name Phone Email Message Select AllOther Contact Form FieldsDomainPlease provide us with your domain name and credentials so that we can set your site live.My Domain* I have a domain I do not have a domain, please purchase one on my behalf I will provide a Domain Registrar, Username, and Password at a later date A domain was purchased on my behalf, you have the credentials Other Current Website Domain*What is your current website domain? Example: https://myamazingwebsite.com Domain Registrar*Who did you register your domain with? Username*What is the username to your domain registrar account? Password*What is the password to your domain registrar account? Requested Website URL*Please provide options for your desired URL starting with your first choice. NavigationNavigation Structure*Example Layout: Home; About; - Meet the Team; Services; - Service #1; - Service #2; - Service #3; - Service #4; Blog; ContactNavigation NotesAny additional information we need to know about your navigation? e.g. For the Homepage, please create a section for each navigation item.Navigation AssetsPlease link to a Dropbox or Google Drive folder with any assets or screenshots. e.g. https://drive.google.com/drive/u/0/folders/123ABC098DesignWe source our stock imagery from 123rf.com. If you would like to use stock imagery, please provide image IDs. For any icons, please use Flaticon.com.Framework Choice*Please choose a framework from Frameworks.yourdigitalagents.com and let us know what you would like to use. *Please note: If you do not select a framework, a default framework will be selected for you by our team. Header Font Choice*e.g. Lato; As a note, we will only download fonts from Google Fonts, Adobe Fonts, or Font Squirrel. For other fonts, we will need to be provided with the font file. Body Font Choice*e.g. Sans Serif. As a note, we will only download fonts from Google Fonts, Adobe Fonts, or Font Squirrel. For other fonts, we will need to be provided with the font file. Upload Your FontsIf you have specific fonts you want us to use and they are not an Adobe or Google font, please upload the otf or ttf files here. You will be responsible for providing the files and licenses. Drop files here or Select files Accepted file types: otf, ttf, Max. file size: 64 MB. Color SchemePlease provide colors, hex codes,a link to an example website, or a logo for your color-scheme.Primary Colore.g. Red #FF0000 Secondary Colore.g. Black #000000 Tertiary Colore.g. White #FFFFFF Design AssetsPlease provide a link to a google drive or dropbox folder with all your design assets. e.g. https://drive.google.com/drive/u/0/folders/123ABC098 ImagesIf you don't have images, please select some demographics and we will select images for you. Professional Related to my Business Fun Choose for me Please list additional demographics here Upload Your AssetsIf you don't have access to a cloud drive, you can upload your design assets (such as your logo, images, etc.) here. Please note: If your total assets uploaded equal more than 16MB, then it would be best to create a cloud drive for use - such as a Google Drive or Dropbox. Drop files here or Select files Max. file size: 64 MB. Web CopyWeb Copy Options*We don't want to deliver an empty site! Your site build includes repurposed content written using information about your industry found online, including from your existing site. Please let us know if you would like us to write this content for you; if you are providing your own content; or if you would like us to just copy/paste the information on your existing site. Please write copy for me. I will provide new copy for you to use. Tell us about your business*What does your company do? What are you selling?Are there any Slogans or Catchphrases you'd like to include?e.g. 'Just Move It!' Who is your Target Audience?Who benefits from your product/services? Any details such as age group, income, location, interests, etc. are helpful How do you want someone to get in touch with you?Any additional information you'd like us to include?Please upload your web copy here* Drop files here or Select files Max. file size: 64 MB. Additional FunctionalityUpload PDFs for Privacy Policy, Terms & Conditions, Refund Policy, etc. if applicable. Drop files here or Select files Max. file size: 64 MB. Additional InformationDid we miss anything? Include it here!
