Marketing Intake Form

Additional Information

Your Industry*

If Not Listed, What Industry are you in?*

What is your Company name?*

What have you tried for advertising previously?*

Are you currently Advertising?

Please choose all current advertising platforms that apply!

What email would you like to use for lead notifications?*

Enter Email Confirm Email

What phone number would you like to use for TXT notifications?

What is your business facebook page?*

What is your value ladder?*

A Value ladder is Mapping out your product offerings in a way that enables you to offer up-sells and down-sells from one product to the next.

What is your Business Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

What is your irresistible offer? This will be the offer used in ads

Don't worry if you don't know we will create one for you!

Please submit any pictures and/or logos you'd like us to use!

Drop files here or

Lifetime value of your customer?*

Your website?*

Distance customers will travel for your service?*

Zip codes or areas you want to dominate*

Age range of your customers?*

Gender of your customers?*

Describe your ideal customer?*

Does the realtor already use a CRM?*

Does your client have a place already that they store all their leads? i.e. Lion Desk, etc?

What is the name of the CRM you use?*

What is your username for the CRM?*

What is your CRM password?*

Please list all the Zip codes or City that your would like to dominate?*

Start with the PRIMARY zip code first...