Web Client Questionnaire

Your Name prefix, Mr or Mrs?

Web Client Questionnaire (alpha numeric only)

Your name *

Business / Organization Name

Subsidiaries of your Business

Business Address (city, state, zip) *

Business social media account

Business Phone *

Business E-mail *

What method of contact do you prefer? *

Call

Text

Number of employees *

Does your company have a logo? *

Yes

What does your company do?

Do you have an existing website? *

Yes

If yes, what domain(s) have you been considering?

If no, what domain(s) have you been considering?

Once your website is active, you will be issued an email for your business. Would you like your business email to be forwarded to the above email address? *

Yes

What would you like your business email address to be? (ex. whatever@yourdomain.com)

I want this website because (check all that apply): *

I need to build awareness for my brand

I need to offer a contact point to my clients

I need my company to have a better image online

I need to sell my product/service through my site

I need to use it to build customer loyalty

I need to reach people in many languages

I need somewhere to promote my latest product/service

My site will target (check all that apply): *

Corporate customers

Consumers

My clients come to me because (check all that apply): *

I offer excellent service

I have the best products on the market

I have the best prices on the market

Anything else you would like for us to know?

Premium plan comes with Unlimited Email Accounts, 1 Custom Domain, Search Engine Optimized, Custom website interface access, 1 video ad monthly**, Unlimited Custom forms, Spam filter Unlimited monthly updates, 24 / 7 tech support, and no contract

Basic plan comes with 5 Email Accounts, 1 Custom Domain, 5GB Storage Space, 3 Custom forms, CRM, Spam filter, 6 monthly updates, 24 / 7 tech support, and no contract

1 Page (Landing page) plan comes with 1 email account, 1 custom domain, 5 GB of storage space, 1 custom form, 3 monthly updates, and 24/7 tech support

Which plan would you like? *

Premium plan

Basic plan

1 Page plan

Verification Code *

(*) Required fields

Pro104 Documents

Web Client Questionnaire (alpha numeric only)

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