The Elements Group: New LEAD

The Elements Group LEAD Form
CONTACT INFO

Please include as much info as possible...
Date*

MonthDayYearHourMinutesAM/PM Option
Organization*
Contact Name*

First NameLast Name
Title*
E-mail*
Contact Phone (cell)*

Area CodePhone Number
Contact Phone (office)

Area CodePhone Number
Website
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
CLIENT ASSESSMENT

What are the client's biggest needs, wants, and how can The Elements Group provide help...
Social Media

Social Media DiscoverySocial Media ExpertSocial Media CampLive Tweeting EventGeo CachingEmail MarketingMicro Marketing CampaignReview CampaignPhoto Package
Price quotes
Social Media Notes
Branding

Logo - newLogo - refreshWebsite - newWebsite - refreshBusiness cardsPrint pieces (please specify below)
Branding Price quotes
Branding Notes
Photography / Video

Photo shootVideo (specify below)
Photography/Video Price quotes
Photography Notes
Virtual Assistant / Graphic Design

Ongoing virtual assistant helpGraphics Design help (specify below)
VA / Graphic Design Price quotes
VA / Graphic Design Notes
Consulting / Coaching

Capital CampaignSocial Media CoachingOther Coaching (specify below)
Consulting/Coaching Price quotes
Consulting /Coaching Notes
Likelihood of Closing
Should be Empty: