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Insurx – Insurance Agency
Get your Pre-Designed Website today!
Name
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First
Last
Do you have a website?
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Choose Option
Yes
No
Current Website URL
How many pages do you want on your new website?
*
What kinds of functions do you need on your new website (check all that apply)?
eCommerce functions (selling products or services).
Customer login area. Visitors can create an account for some reason
Blogs (articles or posts)
Email capture / Newsletter signups.
Videos
Events list or events sign up
Booking / scheduling functionality
Chatbox
Menu / pricing of products or services.
Social media feeds (display actual profile in real time)
Mobile application (app)
Customized functionality.
Other
What is your main goal with a new website?
*
What’s more important to you?
*
Choose Option
The design/look of the website
The website generate sales/leads
Company Name
*
Email
*
Best Phone Number
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Template Name
Phone
This field is for validation purposes and should be left unchanged.
