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Dental Practice Website Checklist
We would like to know what you want in a website for your dental practice. Please fill out the form below and click the "Submit" button to send it to WebBlox.
BASIC INFORMATION
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Indicates required field
Your Name
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First
Last
Email
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Mobile Phone Number
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Upload Your Practice Logo (if any)
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Max file size: 20MB
Practice / Business Name
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Business Address
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Line 1
Line 2
City
State
Zip Code
Country
WEBSITE FEATURE CHECKLIST
Select all features you prefer on your new website
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SEO - Search Engine Keywords and Descriptions
Inquiry Form that emails prospect information to you
Integrated Blog to keep people up to date on your practice
Image Gallery that shows several images in a grid with large versions
Image Slideshow that shows one large image at a time
Link to social sites (Facebook, Twitter, LinkedIn, etc)
File Download (PDF forms, Excel, Word, etc)
Video(s) placed on your web pages
Embedded code from other 3rd party websites
Other features not listed above...
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How many web pages do you want?
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List Each Web Page Name In Order...
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ADDITIONAL SERVICES NEEDED
In addition to building dental practice websites, WebBlox also designs logos, stationery and other design services. Please identify any additional services you'd like us to design.
Choose Any Additional Services You Need
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Business Logo Design
Business Stationery Design (Business Cards, Letterhead)
Business Forms (Applications, etc)
Signage Design (interior, exterior signage)
Practice Brochure (small 3-fold or larger)
Company / Practice Naming
Print / Online Advertising
Video Filming / Editing
Photography
Copywriting
List any additional needs not listed...
*
Submit