Marketing & Media Client Intake Form
Thank you for contacting me. Please fill out this form below to connect with me. I look forward to connecting with you about your business needs.
Business Name
*
First & Last Name
*
First Name
Last Name
Business Email
*
example@example.com
Business Phone Number
Please enter a valid phone number.
Business Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please supply all of your business categories.
How would you describe your marketing initiatives previously? What are you sales and marketing pain points?
Do you have a Facebook Business Page?
Do you have an Instagram Business Page?
Do you have a Google my Business Page?
What services are you looking for?
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Digital Marketing
Social Media Marketing and Management
Search Engine Optimization/ Local SEO
Content Marketing
Graphic Design
Branding
Business Development Consulting
High Def Photography
What work timeline are you looking for?
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Ongoing Work
Project Based
Quarterly Work
Do you have an existing social media presence or are you starting from scratch?
What is your target audience?
Who will be reading and commenting on your social media? Who are you trying to engage?
How would you describe your business brand and marketing initiatives up to this point?
Additional Information- Please include any information you would like me to know before our initial phone call?
What is your communication availability?
*
Afternoons
Evenings During Week
Weekends
Evenings During Weekends
Schedule Our Call Below:
Lets Chat! Schedule a time to chat with me with the times that I am available. I look forward to connecting with you. To reach me directly call 302-500-5026.
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