Website Development Signup Form

Website Development Signup Form
SEM Service Signup Form

Website Development Signup Form
SEM Service Signup Form

website development signup form

CONTACT INFORMATION

Contact Person *

Email *

Phone Number :

PROJECT INFORMATION

Please select your project : *

SEO (Search Engine Optimisation)

SEM/PPC (Search Engine Management / Pay Per Click Ads)

Programmatic Ads

E-commerce Website Development

Company Website Development

Company Website Re-design

Social Media Marketing

Content Marketing

POS (Point of Sale)

Branding

Mobile App Development

Software Development

Cloud / Hosting

BUD Funding

Please describe your project :

WEBSITE INFORMATION

Do you have an existing website ?

Yes

Your current website's URL :

What you dislike about your existing website ?

Do you have a website design you like ?

Or you choose one from our demos :

WEBSITE FEATURES

Select features in your website (choose only the features you need, extra charges might occur):

Online Booking *

Social Media Login

Trackings - Google, Facebok

Affiliate Program *

Loyalty Program *

Pop up Lead Generation *

Event Management *

Blog

GDPR Compliant

Multiple Language

Backup and Recovery

Online Learning *

Membership/Community

Reviews and Comments

WAF firewall and security

CDN (Content Distribution Network)

On-site Google Statistics

SEO Ready

Mobile Responsive

Social Sharing

Shipping and Delivery (eshop)

Amazon Integration * (eshop)

Facebook Shop Integration * (eshop)

Instagram Shop Integration * (eshop)

Taobao Integration * (eshop)

Extended Discounts * (eshop - Buy x get X, Buy x get Y)

Extended Report * (eshop - comprehensive filtering)

Shopping Cart (eshop)

Receive payment (eshop)

Abandoned Cart * (eshop)

Multiple Currency (eshop)

Recommendations Engine* (eshop)

Discounts and Coupons (eshop)

DOMAIN INFORMATION

Do you own a domain name ? (if not please go buy one)

Yes

Domain Name :

Domain registrar you bought your domain from?

Password :

HOSTING INFORMATION

Do you have a hosting provider? (if not, project will host at Assist Media hosting service at AWS)

Yes

Your current hosting company's website :

Password :

PAYMENT METHODS

Select all the payment methods you want to receive :

Paypal (Paypal + credit cards)

Stripe (Credit cards, Apple pay, Alipay, Wechat Pay, Google Pay)

Paymentasia (Alipay, Wechat Pay, Credit cards)

Paypal Login Name or Email :

Paypal Password :

Stripe Login Name or Email :

Stripe Password :

Paymentasia Login Name or Email :

Paymentasia Password :

GOOGLE ACCOUNTS

Do you have a Google Analytics account ?

Yes

1. Please go https://analytics.google.com to register one

2. Please add our account assistmedia@gmail.com to your account with all permissions.

Please add our account assistmedia@gmail.com to your account with all permissions.

Do you have Google My Business account ?

Yes

1. Please go https://business.google.com/ to register one

2. Please add our account assistmedia@gmail.com to your account with all permissions.

Please add our account assistmedia@gmail.com to your account with all permissions.

Do you have Google Ads account ?

Yes

1. Please go https://ads.google.com to register one

2. Please add our account assistmedia@gmail.com to your account with all permissions.

Please add our account assistmedia@gmail.com to your account with all permissions.

Do you have Google Search Console account ?

Yes

1. Please go https://search.google.com/search-console to register one

2. Please add our account assistmedia@gmail.com to your account with all permissions.

Please add our account assistmedia@gmail.com to your account with all permissions.

SOCIAL ACCOUNTS

Select social network you would like to connect :

Facebook

Instagram

Wechat 微信

Twitter

Do you have a company Facebook account?

Yes

1. Please go https://www.facebook.com/search-console to register one

2. Please add our account assistmedia9012@gmail.com to your account with all permissions.

Please add our account assistmedia9012@gmail.com to your account with all permissions.

Do you have a Facebook Ads/Business account ?

Yes

1. Please go https://business.facebook.com/ to register one

2. Please add our account assistmedia9012@gmail.com to your account with all permissions.

Please add our account assistmedia9012@gmail.com to your account with all permissions.

Do you have a Facebook developer account ?

Yes

1. Please go https://developers.facebook.com/ to register one

2. Please add our account assistmedia9012@gmail.com to your account with all permissions.

Please add our account assistmedia9012@gmail.com to your account with all permissions.

Do yo have a Twitter Ad Manager account?

Yes

1. Please go https://business.twitter.com/ to register one

2. Please add our account assistmedia9012@gmail.com to your account with all permissions.

Please add our account assistmedia9012@gmail.com to your account with all permissions.

Do you have a Wechat develper account ?

Yes

1. Please go https://open.weixin.qq.com/ to register one

2. Please add our account my18011707457@163.com to your account with all permissions.

Please add our account my18011707457@163.com to your account with all permissions.

If you are human, leave this field blank.

COMPANY INFORMATION

CONTACT INFORMATION

PROJECT INFORMATION

WEBSITE INFORMATION

WEBSITE FEATURES

DOMAIN INFORMATION

HOSTING INFORMATION

PAYMENT METHODS

GOOGLE ACCOUNTS

SOCIAL ACCOUNTS