Client Application Form
Business Name
*
Full Name
*
Phone
*
Email
*
Website or Social Media Links
*
Industry Specifics
Industry
*
Automotive
Real Estate
Law Firms
Dentistry
E-Commerce
Restaurants & Hospitality
Fitness & Gyms
Home Services
Financial Services
Insurance Agents
Startup
OTHER
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How long have you been in business?
*
Less than 1 year
1–3 years
3–5 years
5+ years
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How are you currently handling your marketing?
*
I manage it myself
In-house marketing team
Freelancers
Agency
Are you prepared to invest in professional marketing if selected?
*
Yes, I’m ready to grow & have budget available
I’m open to it, but I’d like to learn more
No, I’m just browsing for now
What is your current marketing budget?
*
Under $1,000
$1k–$2.5k
$2.5k–$5k
$5k+
Not sure
Vision & Goals
What would you like marketing to help you achieve?
*
Why do you believe your business is a good fit for this opportunity?
*
Anything else you'd like us to know?