EmailMeForm
HotShotsFXMedia.com - Custom Website Design Form
Please take 5-10 mins to complete the online form below.
Your Name
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Business Name (optional)
Cell Phone Number.
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Alternative Phone Number
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Email Address
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If you were referred by someone or by a company, please enter their name below. If not, type N/A
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Best day and time frame to reach you for a 20min consultation call?
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Mondays: 8:00am - 10:00am
Mondays: 10:00am - 12noon
Mondays: 12noon - 2:00pm
Mondays: 2:30pm - 5:00pm
Tuesdays: 8:00am - 10:00am
Tuesdays: 10:00am - 12noon
Tuesdays: 12noon - 2:00pm
Tuesdays: 2:30pm - 5:00pm
Wednesdays: 8:00am - 10:00am
Wednesdays: 10:00am - 12noon
Wednesdays: 12noon - 2:00pm
Wednesdays: 2:30pm - 5:00pm
Thursdays: 8:00am - 10:00am
Thursdays: 10:00am - 12noon
Thursdays: 12noon - 2:00pm
Thursdays: 2:30pm - 5:00pm
Fridays: 8:00am - 10:00am
Fridays: 10:00am - 12noon
Fridays: 12noon - 2:00pm
Fridays: 2:30pm - 5:00pm
Do you already have a website?
If so, enter the website address below.
If not, then enter No below.
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Website Audit - $350
If you have a current website, we can do a full website audit of your current website for $350.
If you need this service, enter your current website address below.
If you do not need this service, then enter N/A below.
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Do you already have a domain name that you purchased?
If so, enter it down below.
If not, then enter No below.
*You can purchase your domain through us.
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If you do not have a domain name as of yet, then please enter the domain name you would like to use for your future website.
*You can purchase your domain through us.
What type of website do you need?
Ex. Online Store, Fitness, Hair, Makeup, Restaurant, etc.
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Select all the website products that say needed next to them.
Any product that does not say needed at the end, is optional. However, we will recommend some all depending on the website build.
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Needed - Custom Website Design or Redesign
Needed - Domain Registration or Domain Transfer
Needed - Managed WordPress - The platform we will use to create your masterpiece.
Needed - SSL Certificates - Gives your website encryption so people can visit safely
Needed - Website Security - Secures your website and adds a top tier firewall to the site
Needed - Website Backups
Needed - Website Management - Let us manage your site so you can focus on making money!
Needed - Email Marketing - Your able to create custom promos and to have a mailing list and send out eblast
Account Set Up for clients - Where clients can create an account and log in and out of a secured area on your site. Good for recurring subscribers who may need access to courses, etc.
Intranet Portal Website (Private Network For Companies_
Custom Logo Design
SEO (Highly recommended) - Gets your business in all the major search engines
Your Business Email *Gmail, and Yahoo are not business emails!
Revenue Digital Marketing
SEO Marketing
Background Enhancement - It will increase sales and bring more attention to the items for sale
Product Mock-Up
Website Hosting
Custom App Development
Business Photo Shoot
How many pages do you think your website will need in total?
You can estimate as well.
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5 - 10 pages
10 - 20 pages
20 - 30 pages
30 - 50 pages
50 - 100 pages
100 - 200 pages
200 - 400 pages
No I do not need a website
What is your total monthly budget for custom website design & web products that you need?
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$250/mo
$300/mo
$350/mo
$400/mo
$450/mo
$500/mo
$500 - $750/mo
$750 - $1,000/mo
$1,000 - $1,500/mo
$1,500 - $2,000/mo
Will you be supplying all the website content such as text, images, and video links?
*There is a $500 fee if we have to create the content for your website. Content creation includes text, images.
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Yes - I will supply my own website content
No - I will pay the additional fee and the company can create all the website content on my behalf
No, I do not need a website
Website Management
Do you want us to manage your website after it's built? If so, please select what your monthly budget is for this service.
Or will you manage your website yourself?
Select your monthly budget amount
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No, I will manage my site entirely after it's built.
Not sure yet.
$200/mo
$250/mo
$275/mo
$300/mo
$350/mo
$400/mo
$500/mo
$600/mo
$700/mo
No, I do not need a website
How soon are you ready to make a payment to get started?
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Today
This week
Next week
Before the Month Ends
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 #2 (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.
Get paid a $250 referral fee for every referral you send us, that signs up.
Referral #4 (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 #5 (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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