Thank you for your interest in StimulatedYet.com! To apply for "Stimulus", please complete the form below.
NOTE: Websites that are obscene, vulgar, sexually-oriented, hateful, threatening, or otherwise violative of any laws will not be considered for "Stimulus".
This form will provide us with some preliminary information on your organization and your website. Once selected, you will be contacted to review this information and further discuss the navigational structure and more specific requirements. |
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| Name: |
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| Organization: |
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| Address: |
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| City: |
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| State: |
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| Zip Code: |
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| Existing Website Address (If any): |
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| Phone: |
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| Email: |
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Best time to reach you: |
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| Best method to reach you: |
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| Organization Type: |
Start-Up Business
Non-Profit Organization
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General Business Category:
(Think "Yellow Pages" Listings Category) |
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Do you you currently have a Domain Name?:
(e.g. yourcompany.com) |
Yes:
| No:
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| If "Yes", What is it?: |
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| If "No", Please enter three choices for Domain Names that would work for you: |
First Choice:
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Second Choice:
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Third Choice:
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Objectives of Website:
(What do you want the website to
accomplish
for you?)
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| What Products / Services do you offer?: |
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| Main Target Market: |
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| Is your Target Market Regionalized?: |
Yes:
| No:
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| If so, what is your Target Region (State(s), Counties, Cities, etc.) |
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| Existing Logo?: |
Yes:
| No:
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| General Color Preferences: |
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| Slogan: |
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| Do You Have Brochures / Printed Materials?: |
Yes:
| No:
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| Main Navigation Preference: |
Top:
| Side:
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| Photography: |
Stock Photos:
| Client Provided JPG Images:
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| Other Sites That You Like the "Look & Feel" of: |
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Website Address
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| Competitors |
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Company
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Website Address
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Businesses and organizations receiving websites created with "Stimulus Dollars" must become paying participants in the Website Performance Analysis and Search Engine Optimization (SEO) program, thereby recycling funds back into the program and creating "Stimulus Dollars" to pay forward to others.
This program is used to help build traffic to your website through the process of traffic analysis and SEO. Included in this program, is a quarterly consultation on the performance of the site.
The required commitment to the SEO program is for at least one year. Cost of the progam is $200/month. 20% of this fee will be applied to "Stimulus Dollars" to help support other organizations coming into the program.
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| If selected, I commit to the Website Performance Analysis and Search Engine Optimization (SEO) program for a period of at least one year: |
Yes:
| No:
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I understand that I am responsible for additional costs related to a new website if applicable:
Domain Registration fee (Approx. $13/year) and Website Hosting fee (Approx. $25/month). E-Commerce sites will also require a Merchant Account to process credit cards, which can be arranged by StimulatedYet.com. |
Yes:
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| NOTE: Completing this form does not commit you (the client), IXI or StimulatedYet.com to the project. When sufficient Stimulus Dollars have been applied to your application to begin your project, a representative of StimulatedYet.com will be in contact with you to discuss the details of your site and your application. At that time you may elect to continue with the project or drop your application from consideration. |
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Additional Questions or Comments?:
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