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Full Name
Person filling out form
Form Filler Email
Last name
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Client/Prospect Last Name
First name
*
Client/Prospect First Name
Email
*
Client/Prospect email
Company name
Client/Prospect Company Name
Website URL
Client/Prospect Website
Business Challenge Summary
*
What is the need or request or project? BANT - Budget, Authority, Need, Timing
Complimentary Services
Choose all that apply
High Level view of their digital presence - IMA (Initial Marketing Assessment)
Basic setup of Google Analytics, Search Console
One time or Foundational Services
Choose all that apply
Fractional CMO Services
Messaging/StoryBrand Framework
SEO Driven Content Calendar
Website (rebuild or upgrade)
Digital Analysis/Audits - SEO, Website, Email Marketing, Competitive Analysis
Analytics & Reporting - Dashboard setup and tracking
GA4 Conversion
Ongoing or Monthly Services
Choose all that apply
Copywriting (SEO-focused)
SEO Services
Email Marketing
Digital Ads (Google, Linkedin, FB/Instagram)
Reporting & Analytics
Fractional CMO
Details or Context
*
Any info to help us understand the need.
Is Client Anchored to Certain Price Point
Yes or No? Explain
Due Date
When would you like to get back to the client/prospect?
Month
/
Day
/
Year
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