Source:*
Search Engine Marketing Piece Referral Other
Contact Information:
First Name:*
Last Name:*
Company Name:
E-mail:*
Phone 1:*
Phone 2:
Company Information:
Products and Services:
Mission Statement:
Goals:
USP #1:
USP #2:
USP #3:
USP #4:
USP #5:
Corporate Identity:
Logo:
Primary Colors:
Secondary Colors:
Feel:
Slogan:
Philosophy:
Current Website:
URL:
Likes / Dislikes:
Current Important Functions:
Current Pages:
Notes:
Marketing Plan:
Consumers or Businesses?: Consumers Businesses
Gender: Males Females Both
Ages:
Domestic or International: Domestic International
If domestic, States/Cities:
If International, Country/Region:
Medium #1:
Medium #2:
Medium #3:
Medium #4:
Medium #5:
Medium #6:
Website Elements:
Total # of Pages:
Blog: Yes No
Want Traffic From Google?: Yes No
E-Commerce: Yes No
Gateway (PayPal, Google, Merchant):
Shopping Cart Needed: Yes No
Example/Model Websites:
Example Website #1:
Example Website #2:
What do you like about them:
Other Possible Functionality:
Accept Credit Cards: Yes No
Form(s) Like This: Yes No
Flash: Yes No
Video: Yes No
Delivery Information:
Starting Date:
Finish Date:
Content Date:
Website Budget: Under $2,500 $2,500-$5,000 Over $5,000
Payments:
Other Services:
Web Hosting
IUSHER
SEO
Email Marketing
PPC
Print Media
Direct Marketing
Outdoor Advertising
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