INTAKE FORM

Please allocate 1-2 hours to complete this form in an uninterrupted environment. If you have any issues, please contact Ashley Popp at [email protected] or the team member that emailed you this link. (We can email you a copy of the form to fill out off-line. - Step 1 of 5

Name *

First

Last

Organization Name *

Phone

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Do you have a specific date that your NEW website needs to be live by? If so, when? *

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Access Information

Do you have a website? If yes, what is the address (URL) of the site we will be working on?

Please provide the name and login of where your website is hosted.

Please provide login credentials for the backend of your website.

Please provide the name and login credentials of where your domain name is registered.

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What's Your Style

What are some goals you would like your website to accomplish? *

List 3 websites that you like all or portions of the site design. This will help us determine your taste, style and give us a starting point for the design of your new website. Tell us why you chose these sites and what you like about them *

Do you have specific content and/or functions you would like to see on the homepage? (Donate or Payment buttons, Schedule Appointments, Product Features, Videos, Forms, any other designated areas for information, etc). *

Do you have a color palette in mind or are there certain colors that you would like us to use or not use? *

Do you have an idea of the type of imagery and photographs you would like us to choose for your new website? (ie. bright and colorful, serious, lifestyle, smiling faces, with or without people, etc.) *

Provide a description of the type of person you want your website to appeal to. Describe your target demographic *

If there are forms scheduled to be on your new site, what information do you want them to collect? *

What email address should your forms be sent to from the website? *

Please provide any other information you feel would be beneficial for our team to have while developing your custom project plan.

Please email any and all branding elements as well as text and graphics that will be needed during the web development process to your account manager. Some examples of applicable files include:

- Company branding elements - Logo in large or vector format - Graphics - Videos - Company or stock photography - Menus - Icons - Downloadable documents - Text - Images

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Website Content

What pages would you like on your website? *

Ex. Home, About, Portfolio, FAQ, Contact etc

How are you providing content (page text and page assets) for your website? *

Please provide any additional information

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3rd Party Platforms

Do you have a newsletter provider you use? *

If so, which one:

Please provide login so that we can configure newsletter sign-ups on your new site:

Do you use a payment processor for donations and/or ecommerce? *

If so, which one:

We will need you to have access to this provider in order to assist us with configuration if your website is taking donations or selling products.

Hosting Details

Would you like information about Cause Inspired Media hosting your new website? *

Comment

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Your form entry has been saved and a unique link has been created which you can access to resume this form.

Enter your email address to receive the link via email. Alternatively, you can copy and save the link below.

Please note, this link should not be shared and will expire in 30 days, afterwards your form entry will be deleted.

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Email *

Access Information

What's Your Style

Please email any and all branding elements as well as text and graphics that will be needed during the web development process to your account manager. Some examples of applicable files include:

Website Content

3rd Party Platforms

Hosting Details

Our Office

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