New Client Information Form:
𝑇ℎ𝑎𝑛𝑘 𝑦𝑜𝑢 𝑓𝑜𝑟 𝑦𝑜𝑢𝑟 𝑖𝑛𝑞𝑢𝑖𝑟𝑦 𝑟𝑒𝑔𝑎𝑟𝑑𝑖𝑛𝑔 𝑜𝑢𝑟 𝑠𝑒𝑟𝑣𝑖𝑐𝑒𝑠 ℎ𝑒𝑟𝑒 𝑎𝑡 𝑀𝑒𝑑𝑖𝑎𝐶𝑜𝑛𝑛𝑒𝑐𝑡𝑋𝑐𝑒𝑙 ! 𝑇𝑜 ℎ𝑒𝑙𝑝 𝑢𝑠 𝑏𝑒𝑡𝑡𝑒𝑟 𝑠𝑒𝑟𝑣𝑒 𝑦𝑜𝑢, 𝑤𝑒 𝑎𝑠𝑘 𝑡ℎ𝑎𝑡 𝑦𝑜𝑢 𝑝𝑙𝑒𝑎𝑠𝑒 𝑐𝑜𝑚𝑝𝑙𝑒𝑡𝑒 𝑡ℎ𝑖𝑠 𝑓𝑜𝑟𝑚 𝑠𝑜 𝑤𝑒 𝑐𝑎𝑛 𝑙𝑒𝑎𝑟𝑛 𝑚𝑜𝑟𝑒 𝑎𝑏𝑜𝑢𝑡 𝑦𝑜𝑢𝑟 𝑏𝑢𝑠𝑖𝑛𝑒𝑠𝑠. 𝐼𝑓 𝑦𝑜𝑢 𝑤𝑜𝑢𝑙𝑑 𝑙𝑖𝑘𝑒 𝑡𝑜 𝑙𝑒𝑎𝑣𝑒 𝑢𝑠 𝑎𝑛𝑦 𝑓𝑢𝑟𝑡ℎ𝑒𝑟 𝑖𝑛𝑓𝑜𝑟𝑚𝑎𝑡𝑖𝑜𝑛 𝑡ℎ𝑎𝑡 𝑖𝑠 𝑛𝑜𝑡 𝑙𝑖𝑠𝑡𝑒𝑑 𝑜𝑛 𝑡ℎ𝑖𝑠 𝑓𝑜𝑟𝑚, 𝑝𝑙𝑒𝑎𝑠𝑒 𝑒𝑚𝑎𝑖𝑙 𝑢𝑠 𝑎𝑡 𝑚𝑒𝑑𝑖𝑎𝑐𝑜𝑛𝑛𝑒𝑐𝑡𝑥𝑐𝑒𝑙@𝑔𝑚𝑎𝑖𝑙.𝑐𝑜𝑚. 𝑊𝑒 𝑙𝑜𝑜𝑘 𝑓𝑜𝑟𝑤𝑎𝑟𝑑 𝑡𝑜 𝑤𝑜𝑟𝑘𝑖𝑛𝑔 𝑤𝑖𝑡ℎ 𝑦𝑜𝑢 !
Full Name
*
First Name
Last Name
Business Name
*
Business Name
City
State / Province
Postal / Zip Code
Phone Number
*
Preferred Contact Number
Format: (000) 000-0000.
Business E-mail
example@example.com
How did you hear about us?
*
Please Select
Instagram
Internet
Referral
Other (Please specify...)
How long have you been in business ?
*
Please Select
Just Started
1 year
1-2 years
3+
Tell me about your business?
*
What’s the inspiration for your business?
*
𝘐.𝘦. Why did you start your business ?
What services are you looking for ?
Social Media Management
Content Creation + Scheduling
Branding
Audits + Strategies
Custom Packages
Photography
Other
Does your business currently have a social media presence? If so, what platform(s) are you using ?
Instagram
Facebook
Twitter
Linkedin
Youtube
Pinterest
TikTok
Social Media Handles or URLs
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