| Contact info (part 1 of 7) |
| Business name |
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| Contact name |
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| Email |
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| Phone |
State Zip |
| Best time to contact you |
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| How did you hear about Mediatrunk? (provide referrer's name if applicable) |
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| Business info (part 2 of 7) |
| Business size |
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| What industry? |
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| List products and/or services |
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| Describe your target customer |
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| What sets you apart from your competitors? |
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| List your top 2 competitors |
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| Web site preferences (part 3 of 7) |
| Web site design package |
Add'l pgs: |
| Web site completion date |
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| Your web site's purpose will be |
sell products/services online
encourage future customers to contact you
list products/services info and/or prices
develop a list of future customers so you can market to them
strengthen your business's brand identity
entertain
other please list |
| List any specific photos, graphics, or colors |
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| Multimedia? |
audio
video
animation
other please list |
| Do you care about search engine results? |
yes
no
undecided
please explain |
| Current web site status (part 4 of 7) |
| What web services do you currently have? |
live web site
registered domain name (www.yourcompany.com)
if yes, list domain name
if no, list desired domain name
email address(es) to match your web site address? (info@yourcompany.com)
web site hosting service agreement (you pay each month or year to keep your web site live) |
| Web site maintenance (part 5 of 7) |
| Web site maintenance frequency |
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| Who will maintain your web site? |
I will Mediatrunk an employee undecided |
| Marketing materials (part 6 of 7) |
| What marketing materials do you currently have? |
logo
slogan
print materials (business cards, flyers, brochures, ads)
other please list |
| Your comments (part 7 of 7) |
| Additional preferences, comments, or questions |
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