Website Intake Form Fill out the form below. We will start your website as soon as this form is complete. Election Date MM DD YYYY Candidate Name * First Name Last Name Title * What you want to be called in marketing materials Office * The office you are running for in the upcoming election Election Area City / District / Zone / State Have you held an elected position before? Yes No If you answered YES to the last question: What is your current or most recent past elected position(s)? Phone * To appear on campaign website (###) ### #### Email To appear on campaign website Address To appear on campaign website Address 1 Address 2 City State/Province Zip/Postal Code Country CAMPAIGN Desired Domain URL * Insert your desired website domain URL (.com) Additional Domains Check the boxes if you want to purchase additional domains (incremental fee) .net .org Messaging Platform What is the #1 thing most important to you? Campaign Headline/Tagline Bio Short description about yourself Primary Messaging * Why are you running for office? Secondary Message * Additional motivation, values, beliefs Endorsements Quotes & names to list on the website or leave blank News Add URL's for any news articles or leave blank CAMPAIGN DESIGN Do you have a headshot? Yes No Do you have a logo? Yes No What colors do you want used in marketing materials? Click all that apply Red Blue Green Yellow Orange White Black Metallic Other ADMINISTRATIVE Primary Contact for Questions, Review, and Approval * First Name Last Name Email * Phone * (###) ### #### ✅ NEXT STEP: Email 3 - 5 photos to: info@mycampaignonline.com Thank you for completing this Website Intake Form. Congratulations, your website is underway!We’ll send confirmation when your website is live.Thank you,My Campaign Online Team
