First Name
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Email
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Phone
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Name of Company
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Website URL
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What best describes your needs right now?
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E.g. I need more online sales
I need more online sales
I need more consumer leads
I need more foot traffic
I need a new website
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What do you sell and who do you sell it to? (Please be as specific as possible, it will help make the conversation as efficient and productive as possible)
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How much can you afford to invest in the growth of your business monthly? (Please choose from the dropdown menu)
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E.g. R10,000 - R20,000 per month
R10,000 - R20,000 /mo
R20,000 - R40,000 /mo
R40,000+ /mo
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