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6
16%
Step 1: Contact Information:
To get basic contact details for initial communication.
Name
*
First
Last
Email
*
Enter Email
Confirm Email
Phone
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Position
*
What's your role? Help us tailor our conversation!
President
CEO
CTO
CIO
Assistant/Secretary
CDO/CMO
Director/Principle Consultant
Manager
Operational
Other
Step 2: Company Information:
Purpose: To understand the client's business background.
Company
*
Company Size
*
Select company size
1-10
11-50
51-200
201-500
500+
Industry
*
Which industry are you in?
Retail & E-commerce
Real Estate & Construction
Technology & Software
Real Estate & Construction
Professional Services
Hospitality & Travel
Media & Entertainment
Automotive
Energy & Utilities
Telecommunications
Education
Website
Step 3: Service Interest:
Purpose: To identify what the client is interested in.
Which services are you interested in? Check all that apply.
*
Website Design and Development
Cloud Services and Solutions
SaaS Products
E-commerce Solutions
Digital Marketing Services
SEO and SEM Services
Blockchain Development
AI and Machine Learning Solutions
Branding and Marketing Strategy
Digital Transformation Consulting
Social Media Management
Other
Current Solutions
Step 4: Project Details
To gather specific details about the client's needs and timeline.
Project Scope:
Investment:
*
Your planned investment
30K-50k
50k-100k
100k-500k
500k+
Timeline:
*
When do you need this project to start?
ASAP
Within 3 months
3-6 months
6+ months
Step 5: Decision Making:
Purpose: To understand the client's decision-making process.
Decision Stage
*
Are you ready to decide? Let us know your stage
Researching
Comparing providers
Ready to decide
Decision Maker
*
Are you the decision maker?
Yes
No
Step 6: Additional Information
Purpose: To collect any other relevant information.
How Did You Hear About Us?
How did you find out about us?
Google Search
Referral
Social Media
Other
Comments/Questions:
Privacy Policy Agreement
*
By submitting this form, you agree to the following:
Data Collection and Use:
Personal Information: You consent to Distinkt Studios collecting and storing the personal details provided in this form, including your name, email address, phone number, and any other information you have chosen to provide.
Purpose: Your information will be used to process your inquiry, manage your account, and if you agree, to email you about other products and services we think may be of interest to you.
Data Sharing:
Third Parties: Distinkt Studios will not share your information for marketing purposes with companies outside our organization. However, we may share your information with trusted partners who provide services on our behalf, such as customer service, unless you have requested otherwise.
Legal Requirements: We may disclose your information if required to do so by law or in response to valid requests by public authorities (e.g., a court or a government agency).
Marketing Communications:
You agree that Distinkt Studios may send you promotional emails about our latest business solutions and offers. You may unsubscribe from these at any time by clicking the unsubscribe link in the email.
Data Security:
We are committed to ensuring that your information is secure. To prevent unauthorized access or disclosure, we have put in place suitable physical, electronic, and managerial procedures to safeguard and secure the information we collect online.
Rights Over Your Data:
Access and Correction: You have the right to request a copy of the information that we hold about you. If you would like a copy of some or all of your personal information, please email us at the following address (privacy@distinkt.io). You may also ask us to correct or remove information you think is inaccurate.
Withdrawal of Consent: You may withdraw your consent at any time by contacting us. Please note that this will not affect the lawfulness of the processing before your consent withdrawal.
Changes to Our Privacy Policy:
We keep our privacy policy under regular review, and we will place any updates on this web page. This privacy policy was last updated on [01/08/2024].
Contact Information:
If you have any questions about our privacy policy or the information we hold about you, please contact us via email at [privacy@distinkt.io] or call us at [917-965-5235].
By clicking "Submit", you acknowledge that you have read and understand this consent agreement and agree to be bound by its terms.
I agree to the privacy policy.