Full Name
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First Name
Last Name
Email Address
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Company/Organization Name
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City, State or Province
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Please describe your business or organization in a few , short sentences.
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Please list your current social media handles.
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Approx. how many posts would you like per week?
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5
14
28
Please describe your potential customers. Pay special attention to their income, interests, gender, age, even type of computer they use, e.g., old with dialup account or newer with broadband. If your website is a business-to-business site, what sort of companies are you hoping to attract?
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Who are the decision makers on this project? What is the turnaround time for making a decision?
Please list the social media handles of three accounts that you like. Why are they attractive to you?
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Do you have a logo?
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Yes
No
Are you planning to do online sales?
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Yes
No
Do you already have images and high quality photos that you would like displayed on your site?
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Yes
No
How did you hear about me?
Facebook
Instagram
LinkedIn
Referred by someone
If you were referred by someone, please submit their name: