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Form Test
Rooah! Web and Digital Solutions
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Form Test
Project Quote Form - Business
Please enable JavaScript in your browser to complete this form.
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Step
1
of 5
Name of Business, Organization or Website
*
Enter the name of your company or your website domain address (eg. www.rooah.com)
Business Contact (Full Name)
*
First
Last
Contact Number
*
What phone number(s) should we contact you on?
Contact Number (Business)
*
What phone number(s) should we list on your website?
Email
*
Email (Business)
*
What email address would you like your business messages sent to?
Personal Facebook ID
(e.g. facebook.com/irooah or @irooah)
Next
Who: In Your Own Words, Please Explain Your Company
*
How would you explain your company and what it offers to a potential client?
When/Why: Tell Us Your Story for Opening This Business
*
Provide a little information on why you started this business. example: “I lost my job in finance in 2006 and decided to follow my heart—so I became an eco-conscious jewelry designer!” This is a key part of your story to tell, probably something that is close to your heart.
What: Tell Us About The Services/Products You Offer
*
Help visitors understand what it is you are offering. What do you want people to know about your services or products.
What You Do Not Offer: Tell Us What Exceptions You Have to The Above Services/Products
*
Where: Tell Us About Your Business Location, City, State
*
What is special about the area your business is located at. Do you have multiple stores? Where are your stores located; do you deliver?; Where do you deliver?
Business Hours
*
Provide your hours of operation.
Service Areas
*
Which local areas do you provide services? e.g. Dover, Delaware; Camden, NJ; Queens, NY etc.
Business Start Date
*
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Next
Website Addon Options
*
Ecommerce: Webstore, donations form, etc
Booking: consultation, calendar, request day for service, etc
CRM: customer relation management system
Media gallery: photos/videos
Will your project be selling a product; services; both or something totally different? Select all that apply.
Do You Have a Domain Name (web address)?
*
Yes
No
Who Is Your Domain Registrar?
*
Google
GoDaddy
Other
Enter Web Address
*
e.g. www.mybusiness.com
Enter Email Used In Registering Domain
*
Enter Domain Registrar
*
Enter Desired Domain Name
*
Enter Domain Registrar
*
Yes, I need Web Hosting
No, I currently have a Web Hosting Provider
Not Sure
List Your Social Media links (1 per line)
Please list all your social media account links here. We will add shortcuts to them on your website/app.
Do You Have a Logo, Color Scheme or General Layout?
*
If so please indicate. e.g. Our colors are red, black and silver.
Any Company Sponsors or Certifications? (Optional)
If Yes, please list all company sponsors and certifications. (Optional)
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Next
Website Demo Selection
(Click on design demo image to select. Click on demo title to preview design)
Select a Design (Click on design demo image to select)
*
Demo 1
Demo 2
Demo 3
Demo 4
Demo
Demo 6
Demo 7
Demo 8
View More Demos
More Designs (Click on design demo image to select)
*
Demo 9
Demo 10
Demo 11
Demo 12
Demo 13
Demo 14
Demo 15
Demo 16
Demo 17
Demo 18
Demo 19
Demo 20
Demo 21
Demo 22
Demo 23
Demo 24
Previous
Next
Who referred you to us?
*
GOOGLE
YELP!
BARK
BING
FACEBOOK
Chamber of Commerce
Better Business Bureau (BBB)
Business Directory
Social Media
Friend
Other
Because we’d like to send them a thank you!
Anything Else You'd Like to Add?
Terms & Agreements
*
By checking this box, I agree to the Rooah!
service level agreement
,
terms
and
privacy policy
.
Please review and agree to the above service level agreement, terms, and privacy policy before proceeding.
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