EmailMe Form - New Website Contractor Web

How did you hear about us?

Which website package are you signing up for? *

Basic

Advanced

Professional

Not Sure

Are you also signing up for On-Going SEO? *

No

Not Sure

Yes, Professional Package

Yes, Premium Package

COMPANY DETAILS:

Your Name *

First Last

Your Email *

Your Phone *

### - ### - ####

Company Name *

Company Email

Company Phone Main *

### - ### - ####

Company Fax

### - ### - ####

Company Web Site

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

COMPANY OVERVIEW

Business Type *

Business Type Comments:

Industry Focus *

Residential

Commercial

Industrial

Other

Industry Focus Comments:

Years in Business *

If you have a company guarantee, please specify (i.e., 100% Guaranteed Work)

If you want your Contractor License # displayed, please enter here:

Do you offer 24/7 Emergency Services? *

Yes

No

WEBSITE DETAILS

Do you have a company logo? *

Yes

No

Do you have a company slogan? (ex: Your Hometown Energy Experts)

Do you have company photos that you would like added to the website? *

Yes

No

Do you have a Company Facebook page that you would like us to link to your website?

Yes

No

Specify any Manufacturers / Brands that you would like to display on your website (ex: Lennox, Carrier, Square D, Siemens, etc.)

What "specific" services does your company offer? The more accurate information here, the more accurate your website will be.
For example:
Fire Protection: fire pumps, fire sprinkler, installation/maintenance/repair

Specify the geography you serve. You can specify in counties, metropolitan area, states, etc. (NOTE: this is important for search engine purposes).

EXAMPLES:
South Jersey, Jersey Shore
Northern CA Bay Area
Chicago Suburbs
Downtown Chicago *

What are the major cities that you target?

EXAMPLE:
Naperville, IL
Downers Grove, IL
Plainfield, IL *

Who are your top competitors?
(Only used for informational purposes to review their website, services offered, website SEO rank, etc.)

Can you think of any company websites that you like? (competitors, manufacturers, similar companies in other states)

Desired Website Address:
ex: www.JohnSmithElectric.com
(keep relevant, simple, not too long)

Do you already have a domain? (for ex: www.contractorweb.net)

Yes

No

Not sure

Do you already have a website hosting account? (for ex: an account with GoDaddy)

Yes

No

Not Sure

Special Instructions / Additional Notes:
(Services, Product Features, Company Description, On-line Coupons/Specials, News, etc.)

FILE UPLOADS:

Photos, Logo, etc.
NOTE: 2MB Max Total
Additional files can be emailed to info@cw36.net

File Upload