Form

First Name *

Last Name

Personal Phone (For us to contact you) *

Personal Email *

Your Official Business Name *

Business Phone *

Business Email *

Starter, Basic or Pro Plan?

Your “about us” section (this should be 3-5 sentences about yourself and how you got started with the business (remember we are trying to build a personal brand around you)

Your TOP Location and the Areas that you service. Be as SPECIFIC as possible! (surrounding cities, suburbs, counties, etc) DO NOT ADD MORE THAN 14

All the services you offer, be as SPECIFIC as possible * REQUIRED *

Give us a few special things about your business that we can show off on your website!

Your business's hour of operations (Ex: 9 am to 5 pm Mon-Friday)

Budget (What are you willing to spend)

Business Instagram Page Link (if applicable)

Business Facebook Page Link (if applicable)

Business Tiktok Page Link (if applicable)

Color Scheme Preference For Your Website

Preferred Colours used to make your Website

Anything Specific you'd like on your website?

Do you already have a Domain? If not, say NONE *

Additional Notes

Provide images to put on your website or we'll just use generic ones

Your Company Logo (Preferably a transparent one) *

By checking this box, I consent to receive non-marketing text messages from Refines Flow about my potential website. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others.from Refines Flow at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.