Turnkey Form Step 1 of 6 16% Business/Practice InfoBusiness/Practice Name*Primary Contact Phone Number*Primary Contact Email* Save and Continue Later DesignWhen choosing a semi-custom design, remember that you can change any pictures or colors, it is the layout that is most important.You can review all of the Semi-Custom design options here: http://turnkey.advicemedia.com/Semi-Custom Selection*Which semi-custom layout would you like to use?AM1AM2AM3AM4AM5AM6AM7AM8AM9AM10AM11AM12AM13AM14AM15Logo Drop files here or Accepted file types: png, eps, ai, psd, jpg, zip, gif. Save and Continue Later ContentHighlighted Services (3-4)What are your top 3-4 primary services that you would like us to feature on your homepage? Picture of DoctorHigh Resolution Image Drop files here or Accepted file types: png, eps, ai, psd, jpg, zip, gif. Doctors Bio (About Us Content)*Would You Like Us to Transfer Your Existing Website Content to Your New Website?YesNoPages to MigrateIncluded in your Semi-Custom website package is "content migration" of up to 25 pages. If your site has less than 25 pages, we will migrate them all. However, if your site has more than 25 pages, please provide the URLs of the pages you would like us to migrate for you. (If there are pages beyond the 25 you would like migrated, you are able to use the content management system to create these pages yourself, or you can pay an additional fee for us to migrate them for you.)Page TitlePage URL Do You Have Any of These Social Media Profiles: Facebook Google+ Twitter YouTube None Facebook Page URL Twitter Page URLYouTube Page URL Save and Continue Later Domain DetailsDo you currently have a website?*YesNoPreferred Domain NameEven though you don't have an existing website, do you have a domain name you would like to use for your new website?Current Website Domain/URLThis should be your primary website address.Do You Have Any Other Domains/URLs?Please list all domains applicable to the project that you would like us to know about. Do You Own and Control Your Domain Name?YesNoI Dont KnowDomain RegistrarWhere did you purchase your domain?GoDaddy.comNetworkSolutions.comEnom.comRegistrar UsernameGodaddy, Network Solutions, Enom login username.Registrar PasswordGodaddy, Network Solutions, Enom login password. Save and Continue Later Email ServiceDo you have email setup on your domain?For example, do you have email addresses such as email@example.com?YesNoI dont knowEmail DetailsCan you tell us more about what email addresses you have and use, where they are setup, who manages them, etc. Save and Continue Later Final ThoughtsAdditional NotesAnything else you would like us to know? Save and Continue Later This iframe contains the logic required to handle Ajax powered Gravity Forms.