Content Collection

* IMPORTANT * We cannot proceed with designing your website. Failure to complete this form, will delay the production of your website.

Name*

First Last

Email*

Enter Email Confirm Email

Your Invoice Number*

This number can be found at the top of your invoice.

Do you have a logo? If yes, proceed below to upload your logo.*

Logo image:

Upload your logo.

Drop files here or

If we quoted you a logo in our proposal and you agreed, please describe what would you like your logo to look like below:

(The cost for a basic logo design is 49.95)

Consent

I agree to the logo cost of 49.95.

I agree and understand that RJG & ASSOCIATES will design me a basic logo for my company's website for the cost of $49.95.

Other images for your website. [Very Important]

Upload any other images for us to use on your website such as: Front page, Welcome page, About us page, Product/Services page, etc.

Drop files here or

Did you subscribe to our phone service?*

Spend more time taking care of your clients and being able to manage your call. Simple but yet powerful for your business. The cost is 35.00 per month + THERE IS A ONE TIME SET UP FEE $25.00

Preferred Area Code for you new telephone number:*

I ordered a...:

Select All
"Toll Free" number
Local Number
No, I did not order phone service.

If you selected "Yes" above, please write out your preferred greeting below:

Otherwise, proceed below to provide us with the existing phone number(s) to list on your website.

Phone Numbers [Very Important]

Phone number(s) to be listed for your business on your website.

Phone Number

Phone Label

Add another Phone Number

If needed.

Phone Label

Email Addresses

Email Address(s) to be listed for your business on your website.

Email

Email Label

Social Media Accounts

Social Media Account(s) to be listed for your business on your website.

List your social media accounts below:

I don't have any Social Media accounts, I....*

Social Media Account (s)

Select All
Facebook Page
Twitter Account
Instagram Account
Tik Tok
Snapchat

Select all that applies.

Business Address

Business Address to be listed for your business on your website.

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Location Label

Tell us a bit about your business

About Us*

Overview*

Company Overview...

Services*

eCommerce*

Will your website process payment?

Social Security Number*

We need that information to setup your eCommerce account. You can call and provide us with that information if you prefer to do so.

Consent*

I agree to that "Incomplete Form" will not be processed and will halt the development of my site.

That's it! Please carefully review your information above for accuracy. Provide any comment or note below and hit "Submit" below.

19046 Bruce B Downs Blvd Suite 201, Tampa, FL / 3600 S. State Road 7, Suite 361, Miramar, FL

Tel: 813-508-7542