Website client info – ePick Digital

Please take your time to fill out the following details. This helps us with the implementation of your new website.

Website client info - Enterprise

This info is being entered by:

Sales representative

The Client

Representative of Client

Name of person completing this form

Business name *

First Name *

Surname *

Email *

Business Phone

Representative Phone

Business Address

Address 1

Address 2

City

State

Postcode

Domain name

We do not want a domain name

We would like the following domain name

We have a domain name (enter below)

Domain name

File Upload - Logo, images or relevant files

Maximum upload size: 10MB

Slogan

Business details

Website design

Social Media

We do not want Social media

We have Social Media

We would like Social media

Social Media details

New Social Media

Search engine optimisation