New Client Intake Form BrickStreet Web Client Onboarding Welcome. We've got a few questions to help us get your project started. Business Name(Required) Business AddressThis is public address for eCommerce and email compliance. We recommend a PO Box, or virtual office address if you don't have a separate business location. Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Primary Project Contact Name(Required) First Last Best Phone Number to reach you (private)We will not use this on the site unless requested.Best Contact Email (private)(Required)We will not use this on the site unless requested. Do You Have a Domain Name Registered ?This would be used for your web address and email. We can help set this up or point you in the right direction. Not Yet - Would like some assistance with this Yes - I have a domain already Domain NamePlease let us know the domain you have registered Public (Customer Service) EmailThis is used for site contact info and to send form and order/donation and other site notifications. Do You have an Online payment processor account?No problem if you don't. We recommend Stripe. We will provide instructions and assistance in setting this up if needed. Yes No - Would like assistance with this Current Payment Processor Do You have a company logo created?We may be able to assist with a basic one if you don't have one yet. If you have one, we will follow-up with upload instructions. Yes No Do you have any brand colors or preferred colors?If you've had a logo done, the designer normally supplies colors as a hex code such as #d2d2d2. If you have any color codes please fill those in below. Yes No Brand ColorsInspiration sitesDo you have any sites that you have seen and liked the general style and feel of. We can use these as inspiration to get a design you will like.EmailThis field is for validation purposes and should be left unchanged.
