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Cloudy Zebra State Farm New Client Form
We are happy to be working with you and helping you get a ton of new traffic online. Please fill out the information below so that we can get started working on your internet media marketing.
Your Name
Your answer
Best phone number for us to reach you?
Your answer
Best email for us to reach you?
Your answer
Full name of business you use online (Ex. Erik LaChance State Farm Insurance Agent.)
Your answer
Full business address
Your answer
Business Phone Number
Your answer
Business Email
Your answer
Business Fax Number
Your answer
Year the company started
Your answer
Business owners name
Your answer
Insurance offered (auto, home, life, renters, etc)
Your answer
List the keywords you think are most important in your business
Your answer
Hours the business is opened
Your answer
Short bio of business owner for websites that allow for it
Your answer
Has your business won any awards? If so please list which ones and when if applicable
Your answer
Microsite website url
Your answer
Vanity website url
Your answer
Facebook url
Your answer
Twitter Url and log in information
Your answer
Yelp url and log in information
Your answer
Instagram url and log in information
Your answer
Google+ url
Your answer
Youtube Channel
Your answer
Has there been any past efforts by other SEO agencies for your business?
Your answer
Do you have pictures of your business? Exterior, interior, team pictures, product pictures, gatherings, social events, promotions, charity events.
Required
If answered yes above please provide a link to google drive, dropbox, etc to where files are stored.
Your answer
Do you have any videos for your business from the corporate videos?
If answered yes above please provide a link to google drive, dropbox, etc to where files are stored.
Your answer
Any other social media urls and log in? Yellow pages, myspace, product hunt etc? If so please list
Your answer
What is the average Lifetime value of your average customer? This is your profit over the life of that customer
Your answer
Please list radius and specific cities you would like to target.
Your answer
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