Prospect Application Form.

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Name* This field is required.
First Name
Last Name
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Email* This field is required.
example@example.com
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Phone Number
Please enter a valid phone number.
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Company Name* This field is required.
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Main Website and Funnel Links* This field is required.Please make sure to include links to direct funnels that you are currently or recently sending traffic too.
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Brief Description Of What You Offer (3 to 4 sentences)* This field is required.Briefly describe your business, its mission, and the products or services you offer.
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Describe Your Ideal Target Audience* This field is required.Who is your ideal customer? Describe their demographics, needs, and behaviors.
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Top 3 Current Challenges* This field is required.What are the main challenges you’re facing in your marketing and sales efforts? (e.g., low traffic, poor conversions, lack of brand awareness, etc.)
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Current Monthly Revenue* This field is required.Share your business's average monthly revenue. All Information shared is confidential.
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Do you have an email list? * This field is required.Please share the size of your list, how many of those people are customers and your key metrics like average open rate and click through rate for a broadcast. Also how often do you email your list per month.
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Top Marketing Channels* This field is required.Which marketing channels are you currently using? (e.g., social media, email marketing, affiliates, SEO, PPC, paid ads)
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Short-Term Goals* This field is required.What are the top 3 goals you want to achieve in the next 6-12 months?
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Long-Term Goals (3-5 years)* This field is required.What are your bigger goals or vision for the next 1-3 years?
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Desire To Succeed* This field is required.From 1 to 5 how much are you wanting to achieve your goals right now? 1 being "meh" and 5 being "I will not rest until I have done so". Be as honest with yourself as possible.
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MEH
NOTHING WILL STOP ME
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Past Agency Experience* This field is required.Have you worked with any marketing agencies or experts recently to help you achieve these goals? If YES, please share a little bit about your experience. Just so we know where you are coming from. We can go deeper on our call.
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Additional Information* This field is required.Is there anything else pressing that you want to share? Do you have an upcoming deadline or timely needs? Do you have any major decisions to make or critical opportunities to move forward?
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