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Name Add your name * Company/Website Name Add your company name or your URL * Email Address Add a valid email * Contact Number Add a valid contact number * Type of Business Add a type of your business Who maintains your existing website? In-house team External Web Company/Designer Still in Development Stage How long has your website been online? Yet to launch 1-6 months 6-12 months 1-2 years 3-5 years Above 5 years Have you ever worked with any internet marketing service provider in the past? Yes No What are your main reasons for seeking internet marketing? Increase numbers of business inquiries Increase signups or applications Increase web traffic to site Increase brand exposure and visibility Other, please specify What are you main interests? Search Marketing/Organic Search Engine Optimization (SEO) Pay Per Click Ads Email Campaigns & Management Develop e-Collaterals For Search Marketing/Organic SEO Target Audience Describe your target audience for the website? End-users
Channel Partners / Resellers
Internal Employees
Existing Clients
Other, please specify Preferred Keywords What are your preferred keywords? Select a State Select the geographical areas of your business focus (press CTRL to make multiple selections) ---Select--- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Your Competitors? Who are your competitors? Time Frame What’s your time frame to begin this project? Immediately 2-4 weeks 1-2 months
Not Sure Additional Comments Any additional comments or requirements you wish to mention? For Pay Per Click Ads Target Audience Describe your target audience for the website? End-users
Channel Partners / Resellers
Internal Employees
Existing Clients
Other, please specify Preferred Keywords Add your preferred keywords? Select a State State the geographical areas of your business focus (press CTRL to make multiple selections) ---Select--- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Your Competitors? Who are your competitors? Advertising BudgetWhat is your advertising budget per month? Less than $1000 $1000 - $3000
$3001 - $6000 Above $6000   *Please note that our service charges are not dependent on your advertising budget AD Types? What is your preference for ad types? Text-based Banner Both   Time frame to begin? What's your time frame to begin on this? Immediately 2-5 weeks 1-3 months
Not Sure Additional Comments Any additional comments or requirements you wish to mention? For Email Campaigns Target Audience Describe your target audience for website? End-users
Channel Partners / Resellers
Internal Employees
Existing Clients
Other, please specify Email content writing services? Would you need any content writing services for your email? Yes No   Provide us the emailing lists Do you plan to  provide us the emailing lists? Yes No   Campaign Size? What is your estimated email campaign size? Less than 1,000 1,000 - 5,000
5,000 - 10,000 10,000 - 30,000
Above 30,000   Time frame to begin? What’s your time frame to begin this project? Immediately 2-6 weeks 1-4 months
Not Sure   Additional Comments Any additional comments or requirements you wish to mention? For e-Collaterals Target Audience Describe your target audience for the website? End-users
Channel Partners / Resellers
Internal Employees
Existing Clients
Other, please specify Existing collaterals prepared? Are you having any existing collaterals prepared? Yes No   Your requirements? What are your exact requirements? Logo Design
Print/Online Brochures
Print/Online Flyers
Print/Online Business Kit
Flash Brochures
Flash Presentations with voice over
Product or Service Demo
Webinars
Other, please specify Content writing services Would you need any content writing services from us? Yes No   Time frame to begin? What’s your time frame to begin this project? Immediately 2 - 7 weeks 1 - 5 months Not Sure Additional Comments Any additional comments or requirements you wish to mention?
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