Note that the areas with an asterisk * are required. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. Section 1: Client Information Client NameClient Direct EmailClient Mobile Phone NumberSection 2: Website Information Company Name This is how you want it to appear on the website.Company Phone NumberThis may be different than your personal tel#.Domain name (URL)Logo File Upload Click or drag files to this area to upload. You can upload up to 3 files. Please upload a hi res jpg, pdf, png, or eps file of your color logo Content File Upload Click or drag files to this area to upload. You can upload up to 8 files. Please upload content files here. You may upload Word, Pages, Numbers, and Pdf filesImage File Upload Click or drag files to this area to upload. You can upload up to 12 files. Please upload image files here. You may upload jpg, png, tiff, mp3 with a maximum file size of 5mb each.Website Information Section 3 - Required*Contact Email for customers *This may be different than your personal email.Business Location #1 Address for Google & Customers*Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIf you do not want a street address on the website leave it blank. However, many customers prefer to work with in-state businesses so we need the city and state on the website and for Google.Business Location #2 Address for Google & CustomersAddress Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIf you do not want a street address on the website leave it blank. However, many customers prefer to work with in-state businesses so we need the city and state on the website and for Google.GoDaddy User name *Enter your username or customer number for GoDaddyGoDaddy Password *Enter your password for GoDaddyGoDaddy PIN *Enter your Personal Identification Number for GoDaddyGoogle User name*Enter your username for Goggle Business Profile if we are handling your GMB.Google Password*Enter your password for Goggle Business ProfileNote GoDaddy and Google Business Profile may require texting you a code to allow us access. Please let us know what time of day is the best for you or if any time is okay so we can access these areas and have them send you the code. You will need to text the code they send you to 405-673-4545. Before accessing these areas, we will text you from this number so you can reply to it. Choose a Day that is best for you. *MondayTuesdayWednesdayThursdayFridayJust try and I will send you the code.Choose the time that is best for you. *8am-10am10am-NoonNoon-3pm3pm-6pm5pm-8pmJust try and I will send you the code.Agreement Section 4- not required if you signed the proposal You can use your cursor or if on mobile device a stylus or your finger to sign. By signing below you agree You are hiring Hettinger Design Group to create, build, and develop your website. Hettinger Design may access your GoDaddy account and Google Business Profile and act as your agent to set up and edited items for your website as discussed. Signature Clear Signature Submit
