Client Intake BillingCompany Name Billing Contact First Last Email PhoneAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Hosting Credit Card TechnicalDomain Name Current IT Service Provider Domain Name Registrar Login (Godaddy etc) Custom MX/DNS Records Current Hosting Provider Current Site FTP LoginUserPass Current Site FTP LoginUserPass Current Email Provider Email Accounts (with user/pass, include Forwarders to sales@, info@, etc)e-Commerce Gateway Service / Login (Authorize.net)UserPass Any Third Party Services That May Need To Be Linked / Integrated Existing Google Analytics Bands In Town You Send It Time Tracker Other If other was checked above, list other third party servicesArtworkLogo Yes No Color Scheme Yes No Slideshow Slides - images, messages, links target Yes No Existing print documents as image/content sources Yes No ContentDescription of special functionality slideshow animations membership user approval eCommerce Outline of PagesMain Sources of Income Main Target Personas Known KeywordsKeyword Research Service Area Page Content Creation Content Marketing Program Level (Specific Deliverables Ex. # Of Articles) Stock Photography Custom Photography Video Footage Video Transcription PhoneThis field is for validation purposes and should be left unchanged.
