Please complete the table below with all the necessary information that we will need to set-up your website. The content will appear as typed, so please be sure to double check your spelling and grammer etc.

The Reflex Clinic will not insert your street number, unless you actually insert it here, so please DO NOT insert the street number into this page unless you want it to be reflected on your new website.


NOTE: Fields denoted with *** are MANDATORY fields, the remaining fields are optional.

 



YOU CAN NOW BEGIN SETTING UP YOUR WEBSITE PROFILE.

 



CONTACT PERSON:
Your name ***
TRADING NAME:
(if you use a Business Name other than just your name fill this in, otherwise leave blank).
Trading Name ***
QUALIFICATIONS:
(this should just be the initials depicting your qualifications).
Your Qualifications ***
EMAIL ADDRESS:
(to be used for FREE email forwarding from your website).
Your e-mail ***
ADDRESS YOU WOULD LIKE TO SEE ON YOUR WEBSITE:
(you may prefer not to show full address details on your website for security reasons).
Address 1 ***
Address 2 ***
Town ***
County ***
POSTCODE:
(this will be used to generate a map for your website as well as your FREE Google Map listing).
Postcode ***
TELEPHONE NUMBER(S):
(to be shown on your website).
Telephone No. ***
GEOGRAPHICAL LOCATION:
(Please provide the names of other catchment areas eg Town / Village / Borough within a 5 to 8 mile radius of your address).
Nearby Locations ***   (Separate each name by a comma).

 


PERSONAL PROFILE:
(please provide a short description about yourself and the services you offer).
Your Profile ***
TREATMENTS OFFERED WITH PRICES:
(please provide details of your current treatments with prices).
Treatments Offered ***
SPECIAL OFFERS:
(please provide details of any special offers you may wish to offer your clients).
Special Offers
VOUCHERS:
(please provide details of any vouchers you may wish to offer your clients).
Vouchers

 



WEB LINKS PLACED HERE

 


 


WWW LINK 01:
(please provide your desired WWW link to other websites you would like to be placed on the Links page of your website.).
Reference Link #1
DESCRIPTION OF WWW LINK 01:
(please provide any ADDITIONAL text to describe this link.).
Description of Link #1
WWW LINK 02:
(please provide your desired WWW link to other websites you would like to be placed on the Links page of your website.).
Reference Link #2
DESCRIPTION OF WWW LINK 02:
(please provide any ADDITIONAL text to describe this link.).
Description of Link #2
WWW LINK 03:
(please provide your desired WWW link to other websites you would like to be placed on the Links page of your website.).
Reference Link #3
DESCRIPTION OF WWW LINK 03:
(please provide any ADDITIONAL text to describe this link.).
Description of Link #3
WWW LINK 04:
(please provide your desired WWW link to other websites you would like to be placed on the Links page of your website.).
Reference Link #4
DESCRIPTION OF WWW LINK 04:
(please provide any ADDITIONAL text to describe this link.).
Description of Link #4

 



TESTIMONIALS PLACED HERE

 


 


TESTIMONIAL #1:
(please cut and paste the details of testimonial number 1, that you would like to be placed on the testimonial page of your website).
Testimonial Number 1
TESTIMONIAL MAKER_#1:
(Name and Place of the person who issued you the testimonial to be shown on your website).
Testimonial Maker_#1 Name and Place
TESTIMONIAL #2:
(please cut and paste the details of testimonial number 2, that you would like to be placed on the testimonial page of your website).
Testimonial Number 2
TESTIMONIAL MAKER_#2:
(Name and Place of the person who issued you the testimonial to be shown on your website).
Testimonial Maker_#2 Name and Place
TESTIMONIAL #3:
(please cut and paste the details of testimonial number 3, that you would like to be placed on the testimonial page of your website).
Testimonial Number 3
TESTIMONIAL MAKER_#3:
(Name and Place of the person who issued you the testimonial to be shown on your website).
Testimonial Maker_#3 Name and Place
TESTIMONIAL #4:
(please cut and paste the details of testimonial number 4, that you would like to be placed on the testimonial page of your website).
Testimonial Number 4
TESTIMONIAL MAKER_#4:
(Name and Place of the person who issued you the testimonial to be shown on your website).
Testimonial Maker_#4 Name and Place

 



CONGRATULATIONS YOU ARE NEARLY DONE.