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Production Order Form
Website
Website (New)
Website (Change)
Blog Request
All Other Order Forms on TapClicks
Home
Production Order Form
Website
Website (New)
Website (Change)
Blog Request
All Other Order Forms on TapClicks
Website Order
Website Development
Fields marked with an
*
are required
Date
(Required)
MM slash DD slash YYYY
Website Order (please select)
(Required)
Non-SEM Landing Page
1 Page Website
3 Page Website
5 Page Website
10 Page Website
15 Page Website
SEM Landing Page
15+ Page Website
Website Transfer
Client Business Name
(Required)
Client Contact Name
(Required)
Client Email
(Required)
Client Phone Number
(Required)
Preferred form of contact (Email, Call or Text)
(Required)
Client Address
(Required)
Street Address
City
State / Province / Region
Zip Code
Media Consultant Name
(Required)
First
Last
Media Consultant Email
(Required)
Region
(Required)
Choose Region
Fargo, ND
Idaho
Joplin, MO
Red River
Mississippi
Prescott, AZ
Sioux City, IA
Sales Coordinator Name
(Required)
First
Last
Sales Coordinator Email
(Required)
LSM Name
(Required)
First
Last
LSM Email
(Required)
Website Build Price
(Required)
Monthly Hosting & Maintenance Fee
(Required)
Contract Start Date
(Required)
MM slash DD slash YYYY
Contract End Date
(Required)
MM slash DD slash YYYY
Client Own Their Domain?
(Required)
Yes
No
Unknown
What domain/host company?
Is there email associated with this domain?
(Required)
Yes
No
Unkown
What domain suggestion do you have in mind?
Examples of websites the client likes
(Required)
Add
Remove
What about these websites does the client like?
(Required)
Add
Remove
What does the client want to accomplish with a build/redesign?
(Required)
Social Media Platforms of the client
(Required)
Facebook
Twitter
Instagram
YouTube
LinkedIn
No Social Media
Enter any additional notes
File Upload (Please upload signed contract and other assets)
(Required)
Drop files here or
Select files
Max. file size: 100 MB.
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Phone
This field is for validation purposes and should be left unchanged.
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