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This is our application form, it will take a minute or two to fill out. Please complete this accurately and completely so we can best determine if we are a good fit for each other. Then we will contact you after.
Name of Your Business
*
Website
*
Which Situation Best Describes You?
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I need more revenue
I'm getting leads, but can't convert them into clients/customers
I want more effective paid advertising
I want lower cost to acquire a customer
Is Your Business Revenue Over $500k A Year?
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Yes
No
How Much Money Have You Invested in Marketing Per Month Before?
*
$1,000-$1,500
$1,500-$2,500
$2,500-$5,000
$5,000-$10,000
$10,000-$20,000
$20,000- $50,000
$50,000 and up
How Willing Are You To Invest The Time, Money And Resources To Grow Your Business?
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1
2
3
4
5
Low
Highly Likely
1 is Low, 5 is Highly Likely
What Are Your Goals For This Year?
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What Is One Ideal Client/Customer Worth To You (per year and lifetime)?
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What Do You Do Really Well?
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What Is Your Top Challenge In Growing Your Business?
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How Important Is It That You Get Your Problems Solved?
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1
2
3
4
5
Low
Very Important
1 is Low, 5 is Very Important
Contact Details
Your Name
*
First Name
Last Name
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Any Final Comments?
Submit Application Now
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