Rediscover Digital Growth Partner Application

1

What Is Your Name?* This field is required.

First Name

Last Name

2

Company Name* This field is required.

3

What Is Your Email?* This field is required.

example@example.com

4

Phone Number* This field is required.

Please enter a valid phone number.

5

What is your industry?* This field is required.

6

Who are your closest competitors?* This field is required.*Please list a minimum of two competitors

7

What is your website/funnel URL?* This field is required.(Where you’re driving traffic to)

8

What is your monthly ad spend?* This field is required.

No Current Ad Spend

0 - $5,000/mo

$5,000 - $25,000/mo

$25,000 - $100,000/mo

$100,000 - $250,000/mo

$250,000/mo+

9

What do you need help with?* This field is required.Select ALL that apply.

Funnels / Landing Pages

Paid Ads

Email / SMS / Follow Up

Conversion Rate Optimization

A bit of everything

10

What is your current monthly business revenue?* This field is required.

$0 - $1k / month

$1k - $5k / month

$5k - $10k / month

$10k - $25k / month

$25k - $100k / month

$100k - $200k+ / month

11

What are your goals?* This field is required.

12

If accepted as a new client, how quickly are you looking to get started?** This field is required.

ASAP

1-2 weeks

2-4 weeks

1-3 months

3 months+

13

Is there anything else we need to know?

14