New Linked-Sites Request Form

Your name

Today's Date

Sales Rep Code:

BUSINESS INFO FOR LINKED-SITES DESIGN:

Company Name

Business Owner Name

Business Street Address

City

State

Zip Code

Business Phone Number

Personal Phone Number if Different

Website Link

Facebook Link

Instagram Link

URL for the Linked-Sites

Choose 2 dominant colors for the new Linked-Sites

Does your Business have a slogan?

Days & Working Hours

Payment Method Business Accept

How Many Years of Service and/or Experience?

Does Business Guarantee its Services or Products?

Does Business Offer Free Estimates?

Only by Phone

Only if Customer Hire the Service

Does Business Have Insurance?

Yes

It is not required

If your business have license, what is the number?

Choose the Linked-Sites Language

English Only

Spanish Only

Bilingual (English & Spanish)

If Linked-Sites Bilingual... Which one to see first?

English

Spanish

Brief Description of Business and its Services or/and Products

Additional Notes

Any additional information youd like us to know