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Contact Name *

Business or Organization Name *

Email *

Best Phone to Reach You

Preferred Contact Method *

• Email
• Phone
• No preference

Best Time to Call *

Where did you first hear or learn about us?

• Personal contact
• Networking event or group
• Business card
• Google
• LinkedIn
• Facebook
• Instagram
• Other

Time you you

Which event or group (if you can recall)?

Other:

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Briefly describe your business or organization: *

Is your organization tax-exempt, based on current IRS definitions? *

• No
• Yes – charitable
• Yes – church or religious
• Yes – private foundation
• Yes – political
• Yes – other

Can you provide proof of IRS exemption status? *

• Yes
• No

Do you currently have a website? *

• Yes
• No

What is your current website address? *

Is your current website based on… *

• WordPress
• Joomla
• Drupal
• None of these or I don’t know

Briefly describe your vision or goals for your website *

No need to get into detail at this point. As we begin working together, we’ll gather more details.

What is your timeframe for starting the project? *

• Immediately
• Within the next 1 – 3 months
• Beyond 3 months
• Not sure or flexible

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