IndependentlyPR Intake Form
Thank you for interest in IndependentlyPR. Help us learn more about your request by completing this intake form. Please complete all required fields to the best of your ability, failure to not properly form a response may result in a intake discrepancy and may result in a delay or ineligibility. Information listed here is confidential and will not be shared with any third parties. If you would like to reach us, please email us at hello@independentlypr.com.
First Name *
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Last Name *
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Phone Number *
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Primary Email *
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I am interested in: *
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What are your brand's needs? *
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How do you think our agency can assist you? *
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What values and beliefs define your brand?
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What is the goal of this project? *
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What are your marketing goals for the next quarter? *
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Where is the brand represented online?
What is the monthly budget for this project? *
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What is your communications issue? *
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Who are your biggest competitors? *
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Why do you think our agency is a good fit for this project?
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Start Date *
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How did you hear about us? *
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