NINZ Landing Page + Chatbot Intake Form

Business Name *

Contact Name *

Email *

Phone *

Address

Business Address

City

State

Country

Postal Code

Service Area

Do you already have a website you want replaced? *

No (new simple landing page)

Yes (I understand this package is for a new simple landing page, not a full website rebuild)

Do you currently have a domain? *

Yes

No (I need help buying one)

Domain name (if yes)

Where is your domain purchased?

Will you be able to add/confirm DNS settings when I send instructions? *

Yes

No (someone else manages it and I will coordinate with them)

Top Services *

Top 5 customer questions you get asked most *

Preferred customer action (choose one) *

What services do you NOT offer? *

Phone number to display on landing page

Email to display on landing page

Link(s) to include (if applicable):

Paste URLs

Business Hours

Short business description (2–4 sentences)

Any credentials to display:

Branding colors (optional)

Any specials/promos to mention (optional)

Branding Assets

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF Upload logo and/or photos to use (optional)

Social Media Link(s) (optional)

Paste URLs

Choose a style: *

Additional notes or requests

I understand pricing is $599 setup (regularly $799)+ $299/month and billed after setup. *

I understand this package includes a simple one-page landing page (template-based) and a structured chatbot setup/script. Complex automations and CRM builds are not included. *

I understand I must provide domain access (or coordinate DNS updates) in order to publish the landing page. *

I am requesting a new simple landing page setup (not a full website redesign). *

I agree to receive text messages and phone calls from NINZ, including automated, pre-recorded, or AI-voiced calls and SMS messages about my service request. I understand this is optional and I can opt out anytime by replying STOP or emailing [email protected].

Collect Payment *

$ 599