PixelDashLab — Client Intake Form

Contact Information

First name *

Last name *

Email address *

Phone number

Company / LLC name

Industry / niche

Website (if you have one)

What Are You Looking For? *

Tell us more about what you need

Are you interested in a SaaS plan?

Yes No Not sure yet

Graphic Design & Marketing Materials

What marketing channels are you focused on?

Do you have existing brand assets we should follow?

Yes — full brand kit Partial (logo / colors only) No — start from scratch Not sure

How many design pieces do you need?

Just 1–2 items A small set (3–10) Full campaign / package Ongoing / monthly

Intended use

Design style preference

Describe what you need or share any inspiration links

Email Hosting

Do you need professional email hosting? (e.g. [email protected])

How many email accounts / mailboxes?

Do you have a domain already?

Any specific requirements or email provider preferences?

How Do You Want To Engage?

One-time build — I own it Managed SaaS — hosted & maintained Open to either

Website Needs (If Applicable)

Do you have an existing site? If so, share the URL

White-Label & Branding

Are you looking to resell or white-label any product under your own brand?

Yes No Maybe / tell me more

Do you have existing branding? (logo, colors, style guide)

Yes, full brand kit Partial (logo only) No — need design help

Budget & Timeline

Approximate budget *

Under $1,000

Single page / small project

$1,000 – $5,000

Starter build / basic platform

$5,000 – $15,000

Pro build / multi-product

$15,000+

Enterprise / full suite

Monthly SaaS plan

$349 – $949/mo

Not sure / flexible

Happy to discuss

Ideal timeline

Preferred contact method

Anything Else?

Additional notes, questions, or context

Design. Build. Grow.
Tell Us Where to Start.

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