Website Project
Intake Form.

This intake form allows us to gather critical assets and information necessary to meet your expectations and achieve successful results with your website design and development. Completing this form is a requirement for your project to start.

Your Name

Phone Number

Phone Number for WhatsApp (if different)

What are you looking to get done?

Create Website from Scratch Redesign of existing Website

What is the URL of your website (if any)?

What would you like to change about your existing website (if you have one)?

Company Name

Company Address

Company Phone Number

Company Email

Company Facebook URL

Company Instagram URL

Other Social Media links

Email address that the "contact us" form will be sent to

Geographical areas you service (example: Austin,TX or Broward county)

List your services/products you offer

Company mission / statement (About us)

What is your value proposition?

Enter your competitor(s) website(s)

Do You Have a Logo?

If Yes, Please send Your Logo in High Resolution to via email to alexa@geeks5g.com

What would be your preferred color combination on your website?

Enter 2 or 3 websites styles in your niche that you like, and mention which parts you like about them most?

Describe the pages you would like to have on your site (example: Home, About Us, Services,etc)

Does your company have a specific color scheme and fonts you want us to use?

Please share any other info you think might help us to create your perfect website

Thank you for submitting a form!

We are super excited about your project!

Website Project Intake Form.

Thank you for submitting a form!

Website Project
Intake Form.