Name: *

Business Name: *

Business Address: *

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Check all services you offer:

Advertising services: TraditionalAdvertising services: DigitalMarketing ConsultingBranding servicesGraphic DesignAnimationPhotographyVideo ProductionPodcast ProductionCopywritingCopyeditingSocial Media ProgramsWeb DesignWeb DevelopmentApp CreationSEOMusic – performerMusic – composerPublic RelationsDigital Marketing

Are you: (choose one)

Business to businessBusiness to consumerBoth

What sized businesses do you target? (choose one)

Start-ups, Solopreneurs, and Businesses under 10 employeesCompanies between 10 and 100 employeesCompanies with over 100 employees

What is the average costs for your services? (choose one)

Under $5,000Between $5,000 and $20,000Between $20,000 and $100,000Over $100,000

Do you target any specific industries?

Where are you currently getting most of your business?

Are there any new markets you’d like to break in to?

Who is the best type of referral for you?

What other marketing services would you like to partner with?

If someone wanted to introduce you to a potential client, what would you want them to say?

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