Black Chamber of Commerce New Mexico Website Intake Form

Name *

Business Name *

Phone Number *

Email Address *

1. Do you have a website already?( if you selected "Yes" for question one, please answer Questions 2 - 6)(if you selected "No" for question one, please skip to Question 7)YesNo

2. What is your websites domain?

3. What website hosting service are you using?

3a. If other, please specify

4. What kind of website building software do you use?

4a. If other, please specify

5. How many pages does your website have? (Home, Contact, Shop, Etc.)

6. How can we help you with your website?

7. Type Of Business?

8. Business address? *

8a. How do you want your customers to be able too reach you?

9. Do you plan to have the ability to make online transactions to obtain your products? (E-commerce)

9a. If so, what kind of e-commerce transactions do you expect?

9b. Is there going to be (or already) any shipping and handling process?

9c. Preferred method of payment?

9a. If so, what kind of e-commerce transactions do you expect?

10. If other, how do you plan to lead customers to obtaining your products/services

If any form of e-commerce website abilities are requested (where a customer can make transactions online), the cost for the subscription will also result in a deduction from hours allocated to developing your website. *Check here if you understand and accept these terms.

If you do not have a domain name purchased, the chamber will acquire a (1) year subscription for your website domain. The cost of that first year will be deducted from the hours allocated to developing your website. The domain and website builder will both be hosted by GoDaddy or Webflow *Check here if you understand and accept these terms.

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