EmailMeForm
HSFXM.com - General Consultation Form
Please take 4 - 6 mins to complete the online form below.
Your Name
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Business Name (optional)
Cell Phone Number.
*
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Primary Email Address
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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
*
Do you already have an active domain name that you purchased?
If so, enter it down below. If not, then enter No below.
*You can purchase your domain through us.
*
1. DESIGN SERVICES & FEATURES
Custom Website *No Payment Processing
Custom Website & Ecommerce, Payment Processing
Custom Dropshipping Website
Custom Logo Design
1a. How many pages do you think (estimate) your website will need in total?
5 - 10 pages
11 - 20 pages
21 - 30 pages
31 - 50 pages
51 - 100 pages
101 - 200 pages
201 - 400+ pages
1b. Select your monthly budget for the Design services & features you selected above.
$300 - $375
$375 - $500
$500 - $750
$750 - $1k
$1k - $2.5k
$2.5k - $5k
$5k - $15K
$15K - 50k+
1c. How soon are you ready to make a payment so we can get started on the Design services you selected above?
Today
This week
Next week
Within the next 14 days
Within the next 21 days
Soon
2. MARKETING SERVICES & FEATURES
Email Marketing - Involves sending marketing promos via emails
SMS Marketing - Involves sending marketing promos to mobile devices
Social Media Marketing
Video Marketing - Involves sending marketing materials via video
Content Marketing - Involves us creative content for marketing promos
SEO (Search Engine Optimization) Marketing - Involves your website being optimized for all search engines so it displays properly when searched for your industry
2a. Select your monthly budget for the Marketing services you selected above.
$300 - $375
$375 - $500
$500 - $750
$750 - $1k
$1k - $2.5k
$2.5k - $5k
$5k - $15K
$15k - 50k+
2b. How soon are you ready to make a payment so we can get started on the Marketing services you selected above?
Today
This week
Next week
Within the next 14 days
Within the next 21 days
Soon
3. Select any additional business services/features you need for your business
Custom Logo Design
Business Email *Ex. Info@yourwebsitename.com
Domain Registration or Domain Transfer
Business Phone Number *Ex. 1800, 1888, etc
Custom Business Card Design
Advertising / Paid Ad Services
Advanced Website Security
Advanced Website Backups
Website Migration
Account Login for Clients
Booking Calendar
SSL Certificate
Landing Page
Hosting (CPanel)
3a. How soon are you ready to make a payment so we can get started on the additional services you selected above?
Today
This week
Next week
Within the next 14 days
Within the next 21 days
Soon
4. Does your business need a Custom App?
Yes - I need a custom app for my business
No - I do not need a custom app for my business at this time. I will consider it in the future.
4a. Select your Custom App budget. Payment plans available.
15k - 25k
25k -50k
50k - 100k
100k - 250k
250k - 500k+
4b. How soon are you ready to make a payment so we can begin the app development process?
Today
This week
Next week
Within the next 14 days
Within the next 21 days
Soon
5. Does your business need a Custom Intranet?
Yes - I need a custom intranet for my business
No - I do not need a custom intranet for my business at this time. I will consider it in the future.
5a. Select your Custom Intranet budget. Payment plans available.
15k - 25k
25k -50k
50k - 100k
100k - 250k
250k - 500k+
5c. How soon are you ready to make a payment so we can begin the intranet design process?
Today
This week
Next week
Within the next 14 days
Within the next 21 days
Soon
Any additional info you would like to add?
Get paid a $250 referral fee for every referral you send us, that signs up.
Referral #1 (Enter their name, and contact number below)
If there on IG list their IG name also.
Or enter their website address also.
Get paid a $250 referral fee for every referral you send us, that signs up.
Referral #1 (Enter their name, and contact number below)
If there on IG list their IG name also.
Or enter their website address also.
Get paid a $250 referral fee for every referral you send us, that signs up.
Referral #3 (Enter their name, and contact number below)
If there on IG list their IG name also.
Or enter their website address also.
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