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*
" indicates required fields
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Company Information
Your Company Name
*
Please enter the legal name of your company or organization.
Primary Business Number
*
Primary Address
*
Street Address
Address Line 2
City
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Armed Forces Americas
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Armed Forces Pacific
State
ZIP Code
Do you have more than one location?
*
Yes
No
If you have multiple locations, we will contact the primary contact for the other addresses.
Primary Contact Information
What are your operating hours?
This is so our team knows when we should and shouldn't call. Something in the line of "Monday - Friday 8:00am to 5:00pm"
Your Name
*
First
Last
It's important to know who the new user request has come from,we will get the name of the employee later.
Your Email Address
*
Helpful for being able to reply to you if we need to follow up on anything.
Your Contact Phone Number
Will you be the primary contact for your company?
*
Yes
No
There are often times that we will need to get in contact with someone at your company for questions regarding technology direction, finances, or various other company information.
Alternative Primary Contact
The fields below are only if you will NOT be the primary contact for us.
Alternative Primary Contact Name
*
First
Last
Alternative Primary Contact Phone Number
*
Preferably a mobile number.
Alternative Primary Contact Email
*
Are there other employees that you would like to be authorized agents on behalf of your company?
*
Yes
No
This could be other employees who are in management roles that would have the ability to make technology decisions with us on behalf of the company. We will contact you for the additional names.
Additional Authorized Agents
Please add one name line for any additional authorized agent. These people will have the same access to the account as you do.
General Questions
What email address would you like to receive estimates and invoices be sent to?
*
We use an estimate and invoice system where the estimates must be approved and invoices must be paid before equipment is ordered. This address will receive those emails.
Billing Questions
Preferred Method of Payment
Credit Card on File
ACH Transfer
We typically prefer to have a credit card on file or ACH transfer. We will contact you for the information.
Actual Website Questions
Do you already own your domain, if so what is it? If not, type No.
What will be the primary purpose of your website?
(e.g., E-commerce, Portfolio, Blog, Company Information, Booking)
Who is your target audience? Be descriptive as possible.
(e.g., Age, Gender, Interests, Location)
Will you require a blog or news section?
No
Yes
Doesn't Matter
Do you have any content ready for the website?
No
Yes
(e.g., Text, Images, Videos, Product Descriptions. Upload all available content)
Content
Drop files here or
Select files
Accepted file types: png, jpg, pdf, gif, doc, docx, eps, Max. file size: 10 MB.
Upload all relevant files please, logos, product images, etc.
Do you need an e-commerce section?
No
Yes
*Price Change*: By selecting yes, we assume that you are interested in the $200/month e-commerce package that we charge to maintain your e-commerce shop.
Social Media
What social media platforms do you currently use?
Google My Business
Facebook
Instagram
TikTok
YouTube
Check all that apply.
Design References
What tone and style should the content of your website have?
(e.g., Formal, Casual, Playful, Professional. Provide any existing content sample links if available)
Do you have any design preferences or inspirations?
(e.g., Websites you like, specific styles, colors, or themes.)
Are there any competitors’ websites you admire?
For Us
Go Live Date
MM slash DD slash YYYY
Is there a specific go live date that you are trying to achieve? *This may affect pricing and the ability for us to take on the project*
Are there any additional comments or questions we can answer for you?
Name
This field is for validation purposes and should be left unchanged.
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