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We would love to help you grow with our personal one on one service. We take pride in our work and look forward to answering any questions you might have regarding website design, internet marketing, (SEO) search engine optimization or branding your business. Fill out our form below or contact us at (310) 987-1891.

Contact Information

Company:

Address:

City: State

Zip code

First Name:

Last Name:

E-mail:

Current Website or Domain:

Current Hosting Provider:

Social Network Information

Blog Address:

Twitter Address:

Facebook Address:

Who monitors and writes content for your social networks?

Self employee Not Monitored

Current Business Directories

Google Business Directory Yahoo Business Directory

Yellow Pages On-Line: MSN Live/Bing Business Directory:

YELP Other Directory

Who monitors your local business directories?

Self: employee Not Monitored:

On-Line Presence Which categories apply to your on-line presence? (click all that apply)

Marketing/product information: Business to Business:

Professional Services: Direct Sales

Education: Community Service

Entertainment Hobbies

Other:

Targeted Visitor

(click all that apply)

Under 12 years old: Teenagers

College Students Average Adult

Senior Citizens Business Personal

Male Female

Website Design

List website's from your industry (if possible) that you find to your liking.

Website:

Reasons:

Over all appearance Layout Color Ease of use

Website:

Reasons:

Over all appearance Layout Color Ease of use

Website:

Reasons:

Over all appearance Layout Color Ease of use

Preferred Colors of your Website Design

Red Blue Green Black

Other Color:

What pages do you think you will need?

Home About Us Contact Us

Services Products Other

Website Services

E-mail Set up and forwarding Yes no

Newsletter Sign-ups Yes No

Accepting Credit Cards On-Line Yes No

E-commerce Store Yes No

Uploading capability for your clients Yes No

Password Protected Pages Yes No

Content Development

Have you developed a content strategy or outline Yes No

Is your content written Yes No

Will you need us to write all or part of your content Yes No

Will you be providing any photos Yes No

Will you be needing any photos taken Yes No

Do you currently have a Logo Yes No

Will you be interested in logo design Yes No

Will you need Flash headers or banners Yes No

Are you affiliated with any organizations?:

Website Analysis and Reporting

Are you interested in Website analysis and reports

Yes No

Search Engine Optimization and Internet Marketing

Are you interested in greater organic search engine results Yes No

Are you interested in Pay Per Click advertising? Yes No

Suggested key words or phrases for your industry:

Extra Notes:

Thank you for taking the time to fill out this important information. We will review your request and contact you promptly.

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