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Full Name

Phone Number

Business Name

Email Address

How long have you been in business? Select an option Less than 6 months 6 months to 1 year 1 to 5 years 5 to 10 years 10+ years

Type of Business Select your business type Real Estate Medical/Healthcare High-Tech/IT Construction Retail E-commerce Restaurant/Hospitality Professional Services (Consulting, Legal, Accounting) Non-profit Other

What is your primary goal for your website? Select your main goal Build Brand Credibility & Trust Generate New Leads & Sales Establish a Professional Online Presence Effectively Showcase Products/Services Improve User Experience & Engagement Other (please specify)

Please specify your website goal:

Best time to contact you for the demo presentation? Select a time preference Morning (9 AM - 12 PM EST) Afternoon (1 PM - 5 PM EST) Evening (6 PM - 9 PM EST)

Best way to reach you? Select a method Call Text Email

Will you be available for 15 minutes on the day of the presentation? Select an option Yes No

Will you have access to a laptop or desktop for the presentation? Select an option Yes No

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