Capstone Website Design Client Intake Form

Email*

First name*

Last name*

Street address

City*

State/Region*

Phone number*

Company name*

Existing Website URL

Check the services you need:*

Site Update

Replacement Website

eCommerce Website

Additional Website

Monthly Support Plan

What additional services do your need?

SEO for my website

Ongoing eCommerce product updates

Help with Domain Name purchases

Other (place details in misc. section)

Check the items you plan on providing for your website.

Domain Name

Fonts

Color Scheme

Images & Video

I will provide copy for the website

Social Media Links

I need these additonal features

Chat

Online Scheduling

Payment Options (Paypal, etc.)

Membership Capabilities

Survey Options

How many website pages you need?

1-10

10-20

20-30

Greater than 30

Have no idea, will need to discuss

Social Media Sites you would like connected to your website? (add the URL's in the Additional Comments section)

Facebook

Linked In

X / Twitter

Instagram

What is the objective for your website?

If you have a current website please let us know what you don't like, is missing or just plain frustrating.

Share your favorite websites. Please include the website URL address and a short comment on what you like about it.

Additional comments, thoughts and needs?

After you enter all of the information, we will contact you shortly to help you with your online needs. You can always contact us at 336.638.1651 or email us at info@cpsig.com.

If you heard about us from a current customer or a website we built, please tell us more.

Please help us out, and let us know how you heard about us.

Linked In

Facebook

Instagram

Capstone Website

Capstone Customer Referral

We saw a website you build, and liked it.