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Acuity Website Design Form

PLEASE ENSURE YOU HAVE A PDF WORD DOCUMENT READY TO UPLOAD BEFORE FILLING OUT THIS FORM. YOUR PDF DOCUMENT MUST INCLUDE ALL TEXTS AND INFORMATION YOU WISH TO INCLUDE ON YOUR WEBSITE. ANY ADDITIONAL INFORMATION OUTSIDE OF WHAT IS INCLUDED IN YOUR DOCUMENT AND THIS FORM WILL REQUIRE A $20 FEE, SO PLEASE TAKE YOUR TIME AND DOUBLE CHECK ALL INFORMATION BEFORE UPLOADING/SUBMITTING. 

Please provide me with your contact details. I will use this information to contact you about your project. 

Now give me a few details about your business . . . . 

Please provide your Acuity Login credentials. This information will only be used to add the final design to your website.

Please upload your Policy Word Document in PDF Format. No Screenshots or iPhone Notes are Accepted.

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If you have good quality photos you'd like to include, you may upload them below. 

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Please list any additional information I will need to design your Acuity Website.
Ex: dates, addresses, social media handles, website design details

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