EmailMeForm
54WebMedia.com - Website Management Inquiry
Once you fill out the section that applies to your business, you can scroll to the bottom of the form and click the submit button.
Fields marked with an red asterisk are the only required fields!
Your Name
*
Business Name (optional)
Cell Phone Number.
*
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Primary Email Address
*
How did you hear about us?
*
Seach Engine (Google, Bing, Yahoo, etc)
Social Media
Current Client
Previous Client
Referred to us
None of the above
If you were referred by someone or by a company, please enter their name below. If not, type N/A
*
Enter your website address (not social media) below so you can review your website.
*
1. WEBSITE MANAGEMENT SERVICE
*What type of website do you have?
*
Ecommerce Website
Non-Ecommerce Website
Regular website & Ecommerce store
Dropshipping website
1b. How many websites do you need us to manage?
*
1 website
2 websites
3 websites
4 websites
5 websites
6 websites +
1c. How many pages do you think want us to manage in total each month?
*
5 - 10 pages
11 - 20 pages
21 - 30 pages
31 - 50 pages
51 - 100+ pages
1d. How often do you need website management?
*
1x a week
2x a week
3x a week
Bi-Weekly
Once a month
Semimonthly
1e. Select your monthly budget for website management
*
$299/mo *tax not included
$399/mo *tax not included
$499/mo *tax not included
$599/mo *tax not included
$699/mo *tax not included
$1,000/mo *tax not included
$1,500/mo *tax not included
$2,500/mo *tax not included
$3,500/mo *tax not included
$5,000/mo *tax not included
$10,000/mo *tax not included
$15,000/mo *tax not included
$25,000/mo+ *tax not included
1f. How soon are you ready to make a payment so we can get started?
*
Today
This week
Next week
Within the next 14 days
1g. Any additional info you would like to add?
Refer a friend and receive a 1 page website design or $250.
*Referral must sign up first, before you receive the 1 page website design or $250 referral fee.
Referral: Enter their name, and contact number below
Or enter their full social media link below.
Ex. Instagram.com/their-name
Or enter their website address below.
*Social media is not their website address.
Refer a friend and receive a 1 page website design or $250.
*Referral must sign up first, before you receive the 1 page website design or $250 referral fee.
Referral: Enter their name, and contact number below
Or enter their full social media link below.
Ex. Instagram.com/their-name
Or enter their website address below.
*Social media is not their website address.
Refer a friend and receive a 1 page website design or $250.
*Referral must sign up first, before you receive the 1 page website design or $250 referral fee.
Referral: Enter their name, and contact number below
Or enter their full social media link below.
Ex. Instagram.com/their-name
Or enter their website address below.
*Social media is not their website address.
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