Hello, welcome to Win Media! We're thrilled to partner with you on your journey to enhance your brand and marketing efforts.

To get started, we kindly ask for a few key details. This information helps us create a smooth experience, ensuring we have the right contacts, communication channels, and all the necessary information to draft your terms of service.

By filling out this form, you're helping us set the stage for success - allowing us to focus on what matters most: achieving great results together!

If you have any questions please email [email protected]

Business Details:

Business Name *

Business Address *

Primary Contact Details:

This will be the main point of contact for the project.

First Name

Last Name

Email *

Phone *

Existing assets:

Please upload a high resolution version of your logo:

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 5 Files )

Do you have brand guidelines?

If you do, please upload here:

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF ( max 10 Files )

Domain name access:

In order for us to avoid any delays with bringing your website to life, we ask for information regarding your domain name now so we know what steps we need to take next. If you're unsure with what to answer please reach out to Dion who can advise.

Do you already have a domain name? *

Yes

Please provide log in details for your domain name so we're able to redirect the DNS records upon going live (nothing will be done without your sign off):

Payment Details:

To enable us to generate your first invoice and to avoid any delays, please provide us with the necessary payment information below. No payments will be requested until and/or outside of what is agreed within your terms of service.

Preferred Payment Method *

Please provide your account details

Sort Code
Account Number
Bank Name

Is the billing address the same as the business address above?

Additional information:

Is there anything else you'd like to share at this stage?