Digital Onboarding Form

Date of Submission *
Date of Submission
Website Proof 1.0 will be available 15 days after the date your provide below.
Client Name / Phone Number / Email
Business Name / Address / Hours / Phone #s / Email / URL
Addt. Services
Check All That Apply
Website Specifics
If yes, please write below what you'd like the URL to be.
Host Username / Hose Password
Max: 3
If easier, please just email Onboarding@valpaksi.com a written list, brochure, or menu of what the client offers
Please provide at least 1 website that you want your client's to be comparable to. - More than 1 will be appreciated.
What email should the form fills be going to?
Digital Package Type *
Which type of Web package did they purchase?