Contact Person for the Website Design Process*

First Last

Contact Person Phone*

This is the phone number where we can reach the person who is in charge of making decisions for the website design process

Name(s) to go on website*

This field is for the contact name or names to be placed on the website. Typically these will be displayed in the Header, Footer & Contact page of the website.

Company Name*

Your Primary Email Address*

This is the email address where all contact forms will go and IDXBroker Leads

Phone where we can contact you*

What is the best number to contact you at?

Website URL*

This is the URL of your site once it is LIVE

Type of Business this site is being designed for*

A Real Estate site for a Broker or Individual agent or Team
Other Business

Is this website for a....

Single Agent
Team
Company/Brokerage

Do you have an Existing site on this domain name?*

Yes
No

Login URL

Where do we login to access the Admin or Dashboard of your existing website. Wordpress sites are usually yourdomainname.com/wp-admin.

Username

The username you use to login

Password

The password you use to login

Domain Name Info

This is where you bought your domain name & how we will be administering to it. It is needed so we can set up your CNAME for your IDXBroker account and also to set your NameServers to point to our hosting. If you want us to make the changes to your domain name when it is time to go live then we will need access to your Domain where you purchased it.

Where did you Buy your Domain Name?

Godaddy (http://godaddy.com)
Network Solutions (http://networksolutions.com)
Enom (http://enom.com)
namecheap (https://www.namecheap.com)
YourSiteNeedsMe.net (http://yoursiteneedsme.net)

Username

Hint* For Godaddy this is your Customer Number

Password

4 Digit Call in Pin (Godaddy only)

You set this up when you created your Godaddy account.

Do you have an email address associated with this domain? Ex. you@yourdomainname.com*

Yes
No

Where did you purchase/setup your email?

IF different from your domain registrar please also provide the login so we can access it to determine your MX records before we make your new site live and avoid interruption to your emails.

Social Media Sites

Please fill in the details below for each social media account you currently have

Facebook Page URL

Twitter Page URL

Google Business Page URL

You can find this by searching for your company name on Google Maps

YouTube Page URL

Linkedin Profile URL

Pinterest Page URL

Instagram Profile URL

Google Analytics

Please fill out this section if you would like us to install Google Analytics & Google Search Console on your site. By providing us with your login information below you are giving us permission to log into your Google account and set-up or edit your Google Analytics & Google Search Console, install it onto your website for tracking purposes. We will also be adding ourselves as users on both accounts so that in the future we can access them without having to log into your Google account. You can revoke this privilege anytime. There is no additional charge for this service.

Opt-in or Opt-out*

Yes - Opt me in!
No - Opt me out

I would like YourSiteNeedsMe to install & setup Google analytics & Google Search Console on my website.

Google Username

This is typically somename@gmail.com but can also be you@yourdomain.com or something similar

Google Password

Contact info for your Website

Do you want your Mobile Phone to appear on the website?

YES
NO

Mobile Phone

We need this so we can set up Text Lead Alerts

Do you want your Office Phone to appear on the website?

YES
NO

Office Phone

Office Address

Street Address Address Line 2 City State ZIP Code

ONLY fill this out if you want it to appear on your website

What is your MAIN city you work in

We use this to help with your SEO

Name your next top 3 cities

We use this to help with your SEO

Please upload your photo in HIGH resolution

Max. file size: 50 MB.

Only upload your photo if you want us to use it on the website

Please upload your LOGO in HIGH resolution

Max. file size: 50 MB.

Please upload your Bio in Document Form

Max. file size: 50 MB.

Please do not upload a PDF. ***IMPORTANT: Skipping this field will forfeit your About Us page in this special deal!!

Please upload your Testimonials

Max. file size: 50 MB.

Please upload a Word or Pages Document containing your Testimonials. **Please do not send us links to Google or other online sources. We do not accept links for Testimonials. ***IMPORTANT: Skipping this field will forfeit your Testimonials page in this special deal!!

Additional Files or Photos

Drop files here or

Max. file size: 50 MB.

Please upload any additional files or photos you want us to use on the site. For example you will need to choose several photos for the home page design. ALL PHOTOS MUST BE HIGH RESOLUTION.

Stock Photos

If you do not have any high resolution photos you can go to BigStockPhoto.com and send us the stock photo ID's of the photos you want. We will purchase them for you. Put the Stock ID's of the photos in the box below. No more than 5 please

Color Scheme & Additional Info

Color Scheme

Please tell us about the color scheme you want to use on the site. If you have specific Colors you want to use you can include Hex codes. Or you can include other sites you have seen that you like. HINT: You can use Paletton to pick specific color codes and color combinations

Terms & Conditions

By checking the boxes below you are the person purchasing this site or a representative thereof & confirm that you have read and agree to the Terms & Conditions set forth by YourSiteNeedsMe, LLC and Charra Hammett. Please click this link to view the details of this agreement: https://yoursiteneedsme.com/disclaimer/

Terms & Conditions*

I have read and agree to the Terms & Conditions

Backup

I have read and agree to the Terms & Disclaimer

I agree to make a backup of my existing site within 24 hours

Additional Fees

By checking the boxes below you are the person purchasing this site or a representative thereof & understand that any special additions outside of the regular setup & theme design will be charged at $85/hour or $125/hour for non IDXBroker Developer Partners & must be paid in full before project goes live. Setup includes Theme Options (colors, settings, formatting, theme license for 1 year) Home Page Design, Header, Footer, Sidebar, Google Analytics installation & setup, Additional Premium Plugin setup as needed/required. Current website page content copied over as is at YourSiteNeedsMe & Charra Hammett's discretion.

Additional Fees*

I have read and agree to the Additional Fees

After you submit this form you will be taken to the IDXBroker Signup page. Skip if you already have an IDXBroker account or are NOT a real estate agent/broker.

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Domain Name Info

Social Media Sites

Google Analytics

Contact info for your Website

Color Scheme & Additional Info

Terms & Conditions

Additional Fees