Lice Site Template Intake Form

Please fill out the form below to get started.

Here is a link to the base template with some location info added.

All logos, colors, services, pricing location and contact information will be updated to your information and is in place as an example.

Basic Information

Name(Required)

First Last

Lice Clinic Name(Required)

Lice Clinic Address(es)(Required)

If you have multiple clinics with their own phone number please add those as well.

Service Areas(Required)

Please list all the areas you service with a comma between each for the website.

About Page(Required)

Please provide text you'd like on the 'about us' page.

Treatment Options(Required)

Please list all treatment options offered including Name, Description and Price for each.

Testimonials(Required)

Please provide some testimonials or a link to your Facebook / Google My Business page where we can pull some for the site.

Current Website URL(Required)

New Website URL (if different)

Website Email(Required)

All forms will go to this email

Website Phone(Required)

Domain Information

Below is a link to delegate access to your GoDaddy account for the domain. If you have your domain in another account please let us know and we’ll work with you as needed for access. Please delegate access to dev@maltesemarketing.com
How To Delegate GoDaddy Access
If your domain isn't in a GoDaddy account you can email dev@maltesemarketing.com to coordinate access.

Social Media Links

Please enter all application social media links below(Required)

Logo

Please provide all available versions of your logo. Vector formats such as Illustrator, SVG or other design formats are preferred.

Logo file upload(Required)

Drop files here or

Max. file size: 20 MB.

Booking Appointment Text Notification Feature

You can receive text notifications to multiple numbers when people fill out the booking appointment form.
Cost: $5/month.

Would you like the text notification feature(Required)

What phone numbers would you like the messages sent to?(Required)

Do you need e-commerce functionality on the site?(Required)

Awesome! We will reach out to talk over cost and next steps.

Website Content & Photo Edits

We will send you a special link where you can mark up and add any written content / photo edits you want made.

Photos

We currently use a free high end stock photography site (https://unsplash.com/) for photos. You can pick any photos from that site for free. If you don’t find any photos you’d like on that site you can also choose photos from (https://depositphotos.com/). You can purchase them yourself or have us secure the images for you. They have a very affordable 1 month subscription for $29 that allows for 30 images to be downloaded.

Timeline

Below is the ideal timeline and can be customized depending on client needs.

Discovery: 3-5 business days - The client will fill out and submit the form, then send an email to dev@maltesemarketing.com confirming submission.

Development: 10 business days - We’ll work to build out the site with all provided content for review.

Revisions: 3 business days - We’ll provide a link to your new site with a streamlined overlay to easily submit revisions and edits. After completing all the edits via that link please email dev@maltesemarketing.com and we’ll process them.

Launch & Testing: 2 business days - We’ll do a final test of the websites functionality, email delivery then schedule a launch date that works

Website Care Plan: Below are two links, the first describes all the services covered in the website care plan and the second is a link to sign up for that website care plan along with a special coupon Matt has negotiated for all his clients. Full disclosure: Maltese Marketing's lead developer owns the company that manages the website care plans so you’ll continue to work with Matt moving forward to make sure the website runs smooth.

https://thinkpb.com/website-care-plans/

https://thinkpb.com/website-care-plan-100/

Coupon (All capital, all one word): MM2023