Stratton Agency
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Personal Website Form Submission
Name
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First
Last
Title
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Email
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Desired Username
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Desired Password
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Enter Password
Confirm Password
Strength indicator
Direct Phone
Cell Phone
If you want to include it on the vCard – if not, leave blank
Favorite Quote
Basics Section
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Write a few sentences up to 1 paragraph briefly describing yourself
Linkedin
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Facebook
Twitter
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YouTube
Other Social Network
Milestones
Number
Description
Examples: 10+, years experience. 120%, effort given.
Progress Bars
%
Description
Examples: 75%, commercial lines. 25%, claims.
Testimonials or Quotes
Content
Person
Ex: Josh is the best Marketer there is! - Josh's Mom.
Background Section
Presently Section
Outside Work Section
Future Section
File Upload
Drop files here or
Please attach any pictures you'd like me to use on your website
Notes
Let me know if there is anything specific you would like to add to your website. Links to videos, a family or friend's website, a partners section, etc.
Stratton Agency
