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Emface Onboarding

Emface Landing Page
Virtual Consultation Tool

"*" indicates required fields

Step 1 of 11

What is the name of your business as you want it to appear online?*

(e.g., Lifted Logic vs. Lifted Logic Farms, LLC)

Practice Address*

Street Address City State / Province / Region ZIP / Postal Code

Practice Phone Number as it appears on website*

What 1 location/city do you want to show up for on Google?*

Which email address(es) will receive lead forms?*

(i.e. info@site.com, customerservice@site.com)

Who, at your practice, will be our main point of contact?*

First Last

Title*

Phone*

Email*

What email address would you like to receive invoices from Lifted Logic?*

Full Name of Employee Administering Emface Treatments*

Employee's Brief Bio*

(100 words or less)

Upload Practice Logo (vector file if possible: .ai/.eps/.pdf/.svg)*

No file selectedBrowseMax. file size: 50 MB.

Upload Headshot of Employee Listed Above or Photo of Office (.jpg/.png/.pdf)*

No file selectedBrowseMax. file size: 50 MB.

Would you like to keep the landing page live past 90 days?*

Yes

Please confirm awareness of $45/month additional hosting cost to keep site live.*

Confirm

Do you currently have a Google Analytics account?*

Yes

Are you able to provide Google Anaytics access to Lifted Logic (analytics@liftedlogic.com)?*

Yes

I don't know how

Do you know your domain name registrar?*

(e.g. GoDaddy, Namecheap, etc.)

Yes

Please enter it here:*

Do you know your log-in credentials for your domain name registrar account?*

We will need this information to launch your page!

Yes

Host Name*

Host Username*

Host Password*

Phone

This field is for validation purposes and should be left unchanged.