Shopify Website Intake Form
Company Information
Company Name
Company Email
example@example.com
Company Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Company Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Current Website
Facebook page
Twitter
Instagram
Please upload the company logo here
Browse Files
Drag and drop files here
Choose a file
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What is the slogan of the company?
About the Website
Target launch date
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What is your Shopify Store URL?
How much is your budget?
What type of Shopify website you're trying to achieve?
What are the products or services you're planning to sell?
Please provide the product title, description, and amount.
How much is the Shipping Fee you're planning to charge?
Who is target audience?
Please provide some sample competitor website URLs
Where can we find your Terms and Conditions?
What is your Refund Policy?
Contact Person
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Submit
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