Getting Started on Your New Website

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(850) 426-4405 support@crcdatatech.com

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(850) 426-4405 support@crcdatatech.com

Home
Services
About Us
Success Stories
Contact Us
Client Login
- Payment Portal
- Service Tickets

Thank you for your interest in our website program! Please fill out as much as you can in the form below to help us give you the best possible product, built to fit your needs and goals.

Person Completing this Form:

First Name*

Last Name*

Title

Phone Number

Email*

What is the URL you will be using?

What is the main company name?

Do you have a logo?

Do you have a favicon?

Any colors/color schemes preferred?

Any colors/color schemes to avoid?

Are there any sites which you like the look and feel of:

Will this be a new site or a redesign/update of current site?

What do you NOT like about the current site?

Is there anything specific you would like to have on the site?

Type of clientele you are trying to attract/ image you would like to present?

Do you have or need a web store?

Will customers/clients need to be able to pay for your products or services via the website?

Do you have a merchant services provider?

Address to display:

Phone to display:

Email to display:

Email to send form information:

Main Contact Page Form:

First Name:

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Last Name:

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Email Address:

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Phone:

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Company :

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Address:

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City :

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State:

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Zip:

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You can add more fields by clicking the + button below

Field Name:

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Form #2 Form Fields:

Where will this form be on the site?

First Name:

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Last Name:

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Email Address:

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Phone:

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Company :

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Address:

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City :

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State:

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Zip:

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You can add more fields by clicking the + button below

Field Name:

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Form #3 Form Fields:

Where will this form be on the site?

First Name:

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Last Name:

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Email Address:

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Phone:

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Company :

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Address:

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City :

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State:

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Zip:

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You can add more fields by clicking the + button below

Field Name:

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Social Media:

Facebook:

Twitter:

Linkedin:

Instagram:

Add more social Media fields by clicking the + button below

Social Media Name:

Social Media Link:

Header menu topics and structure (the menu that goes accross the top of your site )

Pages requested and which header topic do they categorize under

Do you have images you own or licensed that you would like us to use?

Upon submission of this form, our team will send you a link to upload all of your images.

Please provide any copy you would like used

Do you have/ want a blog?

Mission Statement

Service Area(s)

Do you want hours listed?

Add work days by clicking + button

Closed

Anything else about your company we should know that will help us craft a best-fit design for you?

Please click submit only one time. Depending on variations in Internet speed, it could take a minute to send.

DELIVERING ON THE PROMISE OF TECHNOLOGY.

CALL US TODAY AT (850) 426-4405

We provide the vision and confidence needed to keep your business secure, flexible, and free to focus on things that matter, like increasing revenue.

Services

Home
Services
About Us
Success Stories
Contact Us

Contact Information

Address: 4014 Commons Drive West Suite #110 Destin, FL 32541
Phone: (850) 426-4405
Email: support@crcdatatech.com

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