Value Site Information Form Step 1 of 18 0% Recurring Monthly ChargeName of Store*Store Email*This will be the email address where any consumer communications will be pointed to. Name of Client*1sixty8 media's point of contact at your company.Client Email*This may be the same as the store email. Store Address*This will appear on your website. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country United StatesCanadaAustralia Store Phone*This is the contact phone number for customer to use, this will appear on your website.Client Phone*This is the contact phone number for our point of contact. This will not appear on the website.Logo Upload*Please upload your logo. The format should be a transparent .png or a vector-based Illustrator file. (usually provided by your graphic artist) No Larger than 5MB.Accepted file types: png, ai, eps, jpg, jpeg.Do you own a domain for your site?*Example: www.yoursite.comYesNoIf Yes, what is it?*If Yes, who is your registrant?*example: godaddy.com, networksolutions, hover etc...Do you currently use email with this domain?*example: www.yoursite.comYesNoIf yes, who is your email provider?*example: godaddy.com, gmail, otherNotes:Please provide any additional contact information that you want to appear on your site here.Foundation Pages To Be CreatedThese are the pages that you selected to be created during your checkout. These are listed here for your reference only. Car Audio Navigation Remote Starters Bluetooth Truck Accessories Mobile Video Driver Safety Custom Installation Vehicle Security Radar/Laser Detectors Detailing Window Tint Paint Protection Marine Audio Motorcycle Audio Brands CarriedPlease select all brands which you are authorize to sell in your facility 3M Window Film AL Priority Alpine Arc Audio Audiocontrol Audiofrog Audiomobile Audioquest Audiovox Audison Avital Beltronics BlackVue Brandmotion Cerwin Vega Clarion Clifford Compustar Compustar Pro Curb Alert Custom Autosound Digital Designs Dynamat Dynaudio Escort Exile Flex Films Focal Fusion Global Star Helix Hertz Hushmat iDatalink Idatastart Illusion Audio Infinity Inmarsat Iridium JBL Jensen JL Audio JVC K40 Kenwood Kenwood Excelon Kicker Lightning Audio Llumar Window Film Memphis Momento Morel Mosconi NavTV Phoenix Gold Pioneer Powerbass Retro Fit Source Rockford Rosen Rostra Rydeen Sinfoni Smart Line Solarguard Sony SoundSkins Stinger Stinger Radar Suntek Telus Thinkware Vais Tech Viper Vizualogic WeatherTech Wetsounds XKGlow Categories that your facility participates inPlease check all that apply. Backup Safety Bluetooth Car Audio Classic Car Audio Collision Avoidance Custom Fabrication Custom Interiors Hydro Dipping Integration Jeep Accessories Keyless Entry Lighting Marine Audio Mobile Video Motorcycle Audio Navigation Paint Protection Performance Radar Detectors Remote Car Starters Satellite Radio Smartphone Integration Spray In Bedliners Truck Accessories UTV Audio Vehicle Security Vinyl Graphics Vinyl Wraps Wheels and Tires Window Tint Driver Safety Information for About Us Page Please provide us answers to the following questions for your companies "About Us" page.When was the business started?*How many employees?*Size of Building in Square FeetWhat town are you located In?* City What are the main locations/areas you serve?*List the towns/cities and any vernacular names used by the local population. For example: Bay Area, Long Island, Central FloridaDo you offer custom fabrication?*YesNoCustom Fabrication Choices Wood Shop Metal Shop Composites - Fiberglass, Plastics, Carbon Fiber Other OtherWhat makes your store different?*Has your store been remodeled recently?*YesNoIf recently remodeled, when?List any awards you or your facility have received.Are your techs MECP Certified?*YesNoWhat levels of certification? Please check all that apply. Basic Advanced Master Do any staff members have ASE Certification?*YesNoWhich ASE Certifications?Why would someone come to your store versus a competitor?*Do you offer in-store consultations with clients?*YesNoDo you perform off-site work?*YesNoDo you prefer to sell installed solutions or sell the traditional way?*Do you present your client with a complete solution to their needs (Installed Solution) or do you go about the sales process on a product by product basis (Traditional)?Installed SolutionsTraditionalStore Hours*Provide the hours for when you are open and days your closed.TestimonialsPlease provide us with 3 testimonials from clients that you would like us to populate on your site. Please include a name to credit for each quote.Social Media LinksAdd the direct links for your social media accounts.Facebook Twitter Instagram YouTube Other Is there anything else about your company that we should know?Store PhotoIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. Car Audio InformationList all of the car audio brands that you offer.*Do you offer custom fabrication or do you supply more prefab enclosures and Stealthbox style enclosures (or both)? Custom Fabrication Prefab Does your company sell and install digital sound processors?*Examples would be Audison Bit, Masconi, JL Tweak, Helix, etcYesNoSelect all categories of products you sell in the world of car audio.* Source Units Navigation Amplifiers Subwoofers Bluetooth USB Ports Satellite Radio Speakers Other Add other categories of products not listed here.What makes your company special when it comes to this category?Is there anything else we should know?Car Audio Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. Navigation InformationList all of the navigation brands that you offer*Do you offer CarPlay and Android Auto Models?*YesNoWhat makes your company special when it comes to this category?*Is there anything else we should know?Navigation Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. Remote Starters InformationList all of the remote starter brands that you offer.*Models Carried*What additional products or services do you offer inside this category? (Check all that apply)* Heated Seat activation Installation of heated seats Windshield washer fluid heaters Wiper motor cut Rear defrost activation Smartphone integrations Other List other products or services not listed above here.What makes your remote starter installations special and better than the competition?*What makes you unique in this category that would make a client come to you?*Is there anything else we should know?Remote Starter Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. Bluetooth InformationList all of the Bluetooth brands that you offerDo you offer music streaming options?YesNoWhat makes you unique in this category that would make a client choose you?Is there anything else we should know?Bluetooth Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. Truck Accessories InformationPlease list all major categories of products you sell. (check all that apply)* Bed Covers Steps Bumpers List Kits Leveling Kits Wheels/Tires Jeep Accessories Other List Items not listed above.Do you offer installation services?*YesNoIf Yes, is there anything in this category that you do not install?Check the items that you do not install at your facility. Bed Covers Steps Bumpers Lift Kits Leveling Kits Wheels/Tires Jeep Accessories Other Any other items you do not do installations for?What makes you unique in this category that would make a client choose you?*Is there anything else we should know?Truck Accessory Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. Mobil Video InformationDo you offer overhead video systems?*YesNoDo you offer custom headrest kits?*YesNoDo you offer universal headrest kits?*YesNoDo you offer power inverter installation?*YesNoDo you install game plates?*YesNoWhat makes you unique in this category that would make a client choose you?*Is there anything else we should know?Mobile Video Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. Driver Safety InformationDo you offer parking sensors?*YesNoDo you offer backup cameras?*YesNoDo you offer blind stop cameras?*YesNoDo you offer blind spot sensor systems?*YesNoDo you offer 30-degree camera systems?*YesNoDo you offer dash cameras?*YesNoDo you offer forward collision warning systems?*YesNoWhat makes you unique in this category that would make a client choose you?*Is there anything else we should know?Driver Safety Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. Custom Installation InformationDoes your company work with wood?*YesNoDoes your company work with fiberglass?*YesNoDoes your company work with carbon fiber?*YesNoDoes your company work with Metal/welding?*YesNoWhat types of custom installation services and products do you offer?* Enclosures Full Trunks A Pillars Door Panels Center Consoles Other Please list any custom installation services/products you offer that is not listed above.What makes you unique in this category that would make a client choose you?*Is there anything else we should know?Custom Installation Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. Vehicle Security InformationList all of the security brands that you offer.*What models are carried?*What types of optional sensors do you offer?* Shock Glass Breakage Tilt Proximity Other List other sensors offered here.What makes you unique in this category that would make a client choose you?*Is there anything else we should know?Vehicle Security Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. Radar and Laser DetectorsList all of the radar and laser detector brands that you offer.*Do you offer custom installed systems?*YesNoDo you make custom mounts and brackets?*YesNoDo you remove bumpers?*YesNoDo you offer mirror display options?*YesNoWhat makes you unique in this category that would make a client choose you?*Is there anything else we should know?Radar and Laser Detector Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. DetailingPackages offered and descriptions of each package? Include pricing if desired. Take as much space as you need.*Do you offer ala cart options? If so, please list them and pricing desired.*YesNoAla Cart Options and PricingAre there any surcharges? If yes, please list them and pricing if so desired.*YesNoList surcharges and pricing here.*What makes you unique in this category that would make a client choose you?*Is there anything else we should know?Detailing Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. Window TintList all of the window tint brands that you offer.*How many different films do you offer?*Do you have "house" names for your tint offerings? If so, what do you call these different levels?Do you want to mention darkness levels offered for each film?*If so, please list them with each film.YesNoDarkness levels for each film?Warranty Offered*YesNoWarranty DetailsDo you use a plotter?*YesNoDo you have a dedicated tint area?*YesNoWhat makes you unique in this category that would make a client choose you?*Is there anything else we should know?Window Tint Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. Paint ProtectionList all of the paint protection brands that you offer.*Model of film if brand carries more than one model?Warranty offered?*YesNoWarranty InformationDo you use a plotter?*YesNoWhat makes you unique in this category that would make a client choose you?*Is there anything else we should know?Paint Protection Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 1MB.Accepted file types: jpg, png. Marine AudioList all of the marine audio brands that you offer.*Do you offer custom fabrication or do you supply more prefab enclosures and Stealthbox style enclosures? or both? Custom Fabrication Prefab Select all categories of products you sell in the world of marine audio.* Navigation Amplifiers Subwoofers Bluetooth USB Ports Satellite Radio Speakers Other What makes your company special when it comes to this category?*Is there anything else we should know?Do you offer lighting options for boats?*YesNoIf so, what lighting options do you offer? Please be as specific as possible.Marine Audio Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. Motorcycle AudioList all of the motorcycle audio brands that you offer.*Do you offer custom fabrication work?*Examples would be Audison Bit, Mosconi, JL Twk, Helix, etc YesNoSelect all categories of products you sell in the world of motorcycle audio.* Navigation Amplifiers Subwoofers Bluetooth USB Ports Satellite Radio Speakers Other What makes your company special when it comes to this category?*Is there anything else we should know?Do you offer lighting options for Motorcycles?*Examples would be Audison Bit, Mosconi, JL Twk, Helix, etc YesNoIf so, what lighting options do you offer? Please be as specific as possible.*Motorcycle Audio Page ImageIf you would like to supply an image for this page, please upload a quality JPEG or PNG image here. Maximum file size is 5MB.Accepted file types: jpg, png. Please review the information you have submitted and use the Previous button to go back and make any necessary changes {all_fields:exclude[253,254,255,256]}I have reviewed my submission.* Yes. The information I have provided is approved and ready for publishing. CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms. Share this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Tumblr (Opens in new window)Click to share on Pinterest (Opens in new window)Click to email this to a friend (Opens in new window)