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Pure Conceptions Multimedia

Client Form: Website Design Information

1General Information
2Brand Style
3Google Tag Manager
4Web Hosting
5PayPal and Facebook/Instagram
6Testimonials
7Email Marketing Third Party
8File Uploads
9Social Media Handles
10Office Use Only
  • Please upload your company logo
    Max. file size: 5 MB.
  • Place a checkmark next to all statements that apply to you.
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  • This is the color that will be used most in your branding.
  • This is the color that will be used second-most in your branding.
  • This is the color that may be used primarily on buttons and links; it is not a main color.
  • The board is optional, and the instructions for creating your board are inside your Welcome Packet.
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  • Do you have a Google Tag Manager Account?
  • Account Email AddressAccount Password
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  • Did you purchase your domain name and your hosting from the same company?
  • What's your domain name account login?
    What Company Hosts your domain?UsernameAccount Password
  • For Squarespace, Wix, Weebly clients: provide your website's login information.For WordPress or Custom Website clients, provide your hosting account login information (e.g. GoDaddy, GreenGeek, BlueHost, HostGator, Site5, etc.)
    What Company Hosts your site?UsernameAccount Password
  • What are your login credentials to access your website's backend?
    What's the URL (e.g. http://website.com/wp-admin or http://wix.website.com)UsernameLogin Password
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  • PayPal Info

    Note: Your PayPal account must be fully setup as a business account. *****WE ONLY NEED THIS INFORMATION IF YOU SELL PRODUCTS/SERVICES ON YOUR SITE OR CHARGE CUSTOMERS TO BOOK/SCHEDULE WITH YOU*******
  • PayPal Login Credentials
    Account Email AddressAccount Password
  • Facebook and Instagram Info

    NOTE: the account you provide credentials to must be the ADMIN account for the Page your ads will run for.
  • Facebook Login Credentials
    Account Email AddressAccount Password
  • Instagram Login Credentials
    Account UsernameAccount Password
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  • May you please provide the contact information of at least 3 satisfied clients/customers who we can contact to ask about their experience working with you? ****USE THE PLUS ICON TO ADD MORE PEOPLE***
    Full NamePhone NumberEmail Address 
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  • If you have a 3rd party email marketing account, please provide the login information. (e.g. Mailchimp, Constant Contact, Aweber, Emma, ActiveCampaign, Drip)
    Name of the CompanyUsernamePassword 
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  • Upload any/all photos that you would like to use your website.
    Drop files here or
    Max. file size: 6 MB.
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    • Please paste the links to your social media profiles in the appropriate sections below.
      InstagramTwitterFacebookLinkedIn 
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    Designed by Pure Conceptions Multimedia. Copyright 2018