Web Assessment

Name*

First
Last

Company*

Please enter the business name exactly how it should appear on the website.

Business Address*

Street Address
Address Line 2
City

State
Zip Code

Please enter the business address exactly as it should appear on the website.

Business Phone Number*

Please enter the business phone number you would like to appear on the website.

Contact Phone

Please enter an alternate number so that we can reach you if we have questions.

Email*

Please enter the email address you would like to use with your contact form.

Email

Please enter an email address for contacting you if different than above.

Website URL*

Website Type*

Logo*

Yes, we have a logo image
Yes, we use a font
We do not currently have a logo

Do you have a logo image or do you type your logo using a specified font? Please choose only one.

Logo Font & Color

Please enter both the font and color if you use a specific font as a logo.

Website Colors

Please list up to 3 colors you would like included in your website.

Search Phrases*

Please enter the key search phrases that potential customers would use to search for your business product or service.

Business Information*

Please tell us about your business. Include your slogan or tagline. Tell us about your core products or services and area of specialization.

Target Area*

Please enter your target geographical area.

Target Market*

Please tell us about your target market. Include gender, age group, and income range.

Call to action*

What do you want your website visitors to do after visiting your website?

Call To Action Form

If you require a call to action form such as a free estimate, please tell us what fields you will need in addition to name, email address, phone number, and address.

Primary Competitor*

Competitive Differentiator*

What makes your product or service better than your competitor’s?

Inspiration

Please list a website you would like us to use for inspiration.

Allowed Countries*

Considering export and shipping complications, please select which countries you would be willing to accept orders from.

Enable Inventory Tracking?*

Yes
No

Tracking inventory will allow you to maintain your store reputation by only displaying the products you have in stock or letting visitors know the item they seek is not currently available.

Payment Methods To Enable*

Credit Cards (Authorize.net Required)
PayPal
Google Checkout
Checks/Money Orders By Mail

Please check all that apply.

Shipping Methods To Enable*

Free Shipping (Free every day, not a promotion)
Flat Rate Per Item
Flat Rate Per Order
Table Rate (order subtotal and destination)
Table Rate (number of items and destination)
Table Rate (weight and destination)
Carrier Integration (requires weight and dimensions)

Please select the one shipping method that works best for your product. Note that Carrier Integration (UPS/USPS/FedEx/DHL) requires that you know the weight of each item and dimensions of the box it may ship in.

Sales Tax Calculations*

Please select how the sales tax should be applied.

Sales Tax Policy*

Tax All Florida Orders At My Primary Rate
Tax All Florida Orders At The Destination Rate
Tax All Orders (requires a tax table)
Do Not Tax Any Orders

Please select the sales tax policy that best meets your sales tax needs.

Primary Sales Tax Rate*

Please enter the primary sales tax rate for your county including the surtax as a percentage.

Store Terms & Conditions*

Please enter your online store terms and conditions. This may include your return policy, privacy policy, etc.

Terms and Conditions*

I have read and agree to the terms and conditions below

Business Local Listings will not begin your website until your logo, all required graphics, videos, and text are provided by the customer. Please upload these items on the next page. If you need assistance, please call us at (813) 669-0411. We will not copy content from another website unless you have permission from the owner. If you would like us to provide content, graphics, and videos, we may do so for additional fees based on the amount of content required.

Name

This field is for validation purposes and should be left unchanged.

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