Website Info Gather Form
Website Info Gather Form
Current Site And Domain Information
Login URL:
Username:
Password
Domain Registrar Information:
Registered with:
Username:
Password:
Basic Information:
First Name
*
Last Name
*
Phone
*
Email
*
Company Name
*
Your System And Link To A Page That Explains It.
*
Pages And Copy:
Home page content.
*
About Page:
*
Services/Treatment Page:
*
Testimonials And Reviews Page:
*
Blogs or Articles:
*
Frequently Asked Questions:
*
Additional Information:
Links To Research Articles You Would Like To Include. (We have some. If you would like us to add the ones we normally use, please indicate below)
*
Google Analytics And/Or Facebook Pixel Code If You Have These:
*
Links To Websites You Want To Emulate. (Min 3)
*
Upload Database, Logo, Images And Photos, Clinic Photos, Staff Photos And Any Other Visual Content:
*
Logo Files, Images And Photos, Banner Files. Clinic Photos, Staff Photos And Any Other Visual Content:
Submit And Let's Boogy