WEB DESIGN & SEO INTAKE FORM

Please complete the following questionnaire to help us learn more about your business, what your goals are and define how we can best help.

CONTACT INFORMATION

(type "need a website" if you do not have one)

REQUESTED SERVICES

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Web Design and Development Questions

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Search Engine Optimization Questions

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I acknowledge that by submitting this questionnaire I accept and agree to the website terms and conditions and privacy policy. In particular, you consent to our collection, storage and use of your submitted information for the purposes of communicating with you about products or services offered by CareWebsites.com and FrontPage Interactive, LLC. I authorize CareWebsites.com and FrontPage Interactive, LLC to investigate all statements and information contained in this online questionnaire. I UNDERSTAND THAT SUBMISSION OF THIS ONLINE QUESTIONNAIRE IS NOT A CONTRACT FOR SERVICES, NOR ARE SERVICES BEING OFFERED.