Website Intake Form - Quote Request - Geeks5g Digital Marketing

What Is Your Business Name?

📱 What is your WhatsApp phone number?

💬 We do all communication with the team through WhatsApp chat.

What is the URL of your current website? (if applicable)

WHAT WOULD YOU LIKE TO CHANGE ABOUT YOUR EXISTING WEBSITE?

SKIP IF YOU DO NOT HAVE A WEBSITE YET

Do You Have Images of Your Work, of your team, etc?

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

How many total pages do you expect the website to have?

List Your Exact Services / Products You Offer

Be specific — this helps us structure your website correctly and optimize for SEO. Please list each individual service or product separately.

Important: Any service pages (or services/products) not listed in this intake and requested later will be considered out of scope and will be billable.

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

If skipped, design direction will be selected by our team and major style changes requested later may be billable.

Is there some specific integration you want to add to your website?

🛒 If E-Commerce, How Many Products Will You Sell?

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

When do you need the website live?

What is your budget range for this project?

How Can We Help you?

How did you hear about Us?

I understand that by submitting this request, my website hosting will be discontinued and my website will be permanently deleted from Geeks 5G Marketing systems.

I understand that my selection may require additional action, payment, or coordination before June 15, 2026.

Select The Package

$49 SIMPLE UPDATE: Up to 25 mins work $129 ADD A NEW PAGE: Flat Fee CUSTOM QUOTE (Tailored changes beyond our standard options Or if your website was built with another company)

What would you like to change/add on your website?

Upload A Document With Organized Changes Requested

Web Dev & Design

Digital Marketing

Automation & Tools

Creative Services

Customer Support

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Services

More Services

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Web Dev & Design

Digital Marketing

Automation & Tools

Creative Services

Customer Support

Let's Connect

Get In Touch with Us

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Cancel & Delete My Website

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Lets Modify Your Website

Please submit the website modification form, and we will get back to you with a payment link so we can get started.